Title
CONSIDERATION OF A GRANT AWARD IN THE AMOUNT OF $1,087,000 FROM THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT (KDHE) TO PROVIDE OUTREACH, PREVENTION AND INTERVENTION SERVICES THROUGH THE HEALTH DEPARTMENT'S HEALTHY BABIES PROGRAM AND THE HEALTHY FAMILIES AMERICAN PROGRAM AT THE KANSAS CHILDREN'S SERVICE LEAGUE (KCSL).
Presented by: Nicole Fox-Phillips, Director of Children & Family Services Division, Sedgwick County Health Department.
RECOMMENDED ACTION: Accept the award; and authorize the Chairman to sign the grant award agreement and establish budget authority as provided in the financial considerations section of this request.
Body
Grant Renewal: Yes
Never Applied: No
Applied; not awarded: No
Grant Summary and Timeline: Healthy Babies is a free, group and individual visit program led by Registered Nurses and Community Liaisons that provides prenatal and parenting education designed to improve birth outcomes (prematurity, low birth weight and infant mortality) among at-risk families. Services are available to all Sedgwick County residents regardless of income or insurance coverage, prenatally through the child's second birthday. In addition, the Healthy Babies provider ensures the client is connected to other community resources based on individual need.
Healthy Babies partnered with the former Kansas Health Policy Authority (KHPA) for nearly a decade (2002-2011) to promote best practices in providing prevention/early intervention services to high risk prenatal and delivered moms in Sedgwick County. On July 1, 2011, KHPA was transferred to the KDHE through an executive reorganization.
The HB Program and Healthy Families America (HFA) work hand in hand to wrap services around at risk families, addressing physical, mental, social and emotional needs of the families we serve. HFA provides services until the child is three years old, or up to five years of age, when necessary. Since 2000, the average annual number of births in Sedgwick County has been 7,814 and research shows (Wiese & Daro, 1995) that at least 25% (or 1,954) of those families would have multiple risk factors and could benefit from HB and/or HFA services.
The Kansas Children's Service League (KCSL) is a statewide not for profit agency that provides a continuum of programs and services; advocating for children, and collaborates with other public and private agencies for increased effectiveness, efficiency and quality. KCSL serves over 40,000 children a year statewide. KCSL has been providing Healthy Families home visitation services across Kansas since 1996, and is currently offering the program in 10 Kansas counties. Healthy Families-Sedgwick County was awarded funding in January 2010 and they began serving families in March of 2010.
Enrollment for both programs occurs optimally during the prenatal period. While the focus of the HB prenatal and parenting education program is on improving birth outcomes among at-risk moms, the focus of the KCSL HFA program is to prevent child abuse, promote positive parenting, enhance school readiness and improve child health among high-risk families. Weekly home visitation, case management, 24/7 crisis support and child health and development screenings are priority services provided to each enrolled family.
In support of the Healthy Babies program, KDHE is renewing their 2014/2015 agreement with the Health Department for $1,087,000, from $1,053,000, an increase of $34,000.
The increase of $34,000 in this contract will cover lease costs due to decreased program revenue available from billing Kancare.
Financial Considerations:
Grant period starts: July 1, 2014
Grant period ends: June 30, 2015
Source of funding
Grant: $1,087,000.00
Required Match: $1,087,000
Required Cash Match: $0.00
Required In-Kind Match: $1,087,000.00
Other funding: $0.00
TOTAL SOURCES: $2,174,000.00 (Note: Includes $1,087,000 in In-Kind Match funds that are not included in Uses of Grant Funds below.)
Uses of funding
Operational costs: $1,087,000.00
Personnel: $824,702.00
Contractual services: $170,000.00
Operational supplies: $32,228.00
Equipment: $0.00
Indirect administrative costs: $60,070.00
Capital projects cost: $0.00
TOTAL USES: $1,087,000.00
Source of matching funds: Local (110): $568,210; Grants (274): $348,790 (38009-274, 38017-274 & 38121-274); and $170,000 - private foundation from United Way for KCSL.
Source of other funding: N/A.
Budget Authority Adjustment: Yes; $34,000 in additional budget authority is being requested for 2014. Total funding is $2,174,000.00; funds will be managed through 38109-274 / 381095-14 (KCSL) and 38059-274 / 380595-14 (KDHE). The total amount of the KCSL agreement is $340,000; ($170,000 private foundation funding and $170,000 Federal Financial Participation (FFP) through this award).
Total annual funding under this agreement shall not exceed $2,174,000.00, said amount comprising the County's certified matching funds of $1,087,000.00 and the FFP amount of $1,087,000.00. A total of $1,834,000.00 ($917,000.00 County's certified matching funds and $917,000.00 FFP) will be allocated to the HB Program and $340,000.00 ($170,000.00 County's certified matching funds and $170,000.00 FFP) will be allocated to the Healthy Families Program via this sub contract with KCSL.
The $170,000 match comes through the United Way of the Plains to Sedgwick County and Sedgwick County reimburses KCSL; the remaining $170,000 comes as a Federal match to Sedgwick County which is used to reimburse KCSL for the total expenses on a quarterly basis, not to exceed $340,000/annually. KCSL will be responsible for submitting KDHE required quarterly and annual data and narrative reports as well as certified match reports to the Health Department who will then compile their data with the Health Department's data and submit it to KDHE. The Health Department will send quarterly payments to KCSL based on timely receipt of reports, match availability and receipt of funding from KDHE.
Personnel considerations:
This agreement pays for a portion or all of 16 positions that provide service and/or support for the Healthy Babies Program and the Fetal Infant Mortality Review (FIMR) Project.
Expected measurable outcomes:
1. By 12/31/2014, decrease the Low Birth Weight (LBW) rate of program participants to 5.0%. (CY2009 = 15.78%; CY2010 = 10.34%; CY2011 = 13.15%; CY2012 12.02% CY2013 = 7.59%)
2. By 12/31/2014, decrease the Very Low Birth Weight (VLBW) rate of program participants to 1.0%. (CY2009 = 3.5%; CY2010 = 1.03%; CY2011 = 2.35%; CY2012 1.92% CY2013 = 1.38%)
Analysis:
Amending the KDHE agreement for additional funding will allow the Healthy Babies program to maintain current services despite decreased revenue from billing for services.
Alternatives:
The alternatives to accepting this contract funding are to not accept the funding and reduce personnel and services or try to seek funding elsewhere.
Policy considerations: N/A
Legal considerations:
The authority to enter this agreement is contained within the County's Home Rule powers within K.S.A. 19-101a. This agreement is governed by K.S.A. 65-241 et seq and K.S.A. 75-7403 et seq. The Medicaid provisions that are applicable to this agreement are contained within 42 C.F.R. 433.50 et seq. Approval is by simple majority vote.