Title
Request to enter into new agreement for the provision of the national Healthy Start program evaluation through the Healthy Babies Program at the Sedgwick County Division of Health between Sedgwick County, the Kansas Department of Health and Environment, and the Maternal and Child Health Bureau Health Resources and Services Administration.
Body
Contract Approval Process Form - Please see Section V of Charter 68 for reference.
1. If the request is over a $10,000 spend, have these services been competitively bid (pursuant to Purchasing Charter Resolution 68)? Not relative
a. If not, has this purchase received a waiver of competitive bidding from the Purchasing Director? Please provide proof. Not relative
2. Purpose of the Contract (please be specific)
This contract discusses data use and sharing between Sedgwick County, the Kansas Department of Health and Environment, and the Maternal and Child Health Bureau Health Resources and Services Administration.
3. Justification for the Contract
a. Do we perform the services in house? No
b. Is there an option to perform the services in house? No
c. Do any other current County vendors provide the services (i.e., could we amend a current contract to add these services)? No
4. Scope of the Contract
a. What services specifically will the Contractor be providing?
The agreement is for data sharing between or local Healthy Start program, other Kansas Healthy Start programs, and the National Healthy Start program.
b. In the alternative, if this is a revenue-generating contract for the County, what services specifically will the County be providing? Not Relative
5. What is the anticipated spend under this contract for all possible years of the contract (e.g., if this is a contract for 1 year with one 1-year option to renew, what is the total spend for both years of the contract)? $0
a. In the alternative, if this is a revenue-generating contract for the County, what is the anticipated annual revenue under this contract? Not Relative
b. Please note: if the anticipated spend of the contract is $50,000+, the contract will need to be placed on a BoCC agenda for commission approval. Do not use this template for items going on an agenda. Please contact the Manager's Office if you have any questions.
6. If this is a renewal/extension of an existing contract, what was the previous annual spend for these services with this vendor? Not Relative
a. If the services were performed by another vendor, what was the previous annual spend for those services? Not Relative
b. In the alternative, if this is a revenue-generating contract for the County, what was the previous annual revenue for performance of these services? Not Relative
7. Requested Term of the Contract 1 year
a. Should the contract include any language for renewal?
Yes - it is possible that National Healthy Start will renew this contract at a later date.
8. Are there any specific terms that the user department would like included in the contract? No
9. What is the deadline for the user department receiving a draft of the contract? As soon as possible
10. Will any private health information be exchanged between Sedgwick County and the vendor? If so, in what capacity? (If yes, a Business Associate Addendum (BAA) is required as an addendum to the agreement.)
Yes. Mother’s name, DOB, address, social security number, race, ethnicity, Medicaid status, gravidity, parity, date of enrollment, client ID number, infant date of birth, birth hospital, infant sex, infant name, and infant birth weight will be given to KDHE.