Title
CONSIDERATION OF AN AWARD IN THE AMOUNT OF $32,500.00 FROM THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT (KDHE) TO SUPPORT THE CONTROL OF TUBERCULOSIS (TB) IN SEDGWICK COUNTY AT THE DIVISION OF HEALTH.
Presented by: ADRIENNE BYRNE, HEALTH DIRECTOR, SEDGWICK COUNTY DIVISION OF HEALTH
RECOMMENDED ACTION: Authorize acceptance of the grant. Per Resolution 64-2013, this will be submitted to the County Manager for final approval and signature.
Body
Grant Renewal: Yes
Never Applied: No
Applied; not awarded: No
Grant Summary and Timeline:
Control of TB is a core public health function provided by the Division of Health and mandated by State statute (see Legal Considerations section below). Employers, universities, detention centers, hospitals, nursing homes, homeless shelters, and physicians refer all persons with positive TB test results, and those suspected of active TB, to the Division of Health. Persons exposed to known active TB cases are sought out and evaluated according to Centers for Disease Control and Prevention and KDHE Standards of Care.
This award provides funding necessary:
• To assist with the management and treatment of people with active TB through direct observation of daily therapy;
• To evaluate and treat contacts of active disease cases for TB Infection and suspects for active TB disease;
• To provide preventive therapy for those with TB Infection but not transmitting TB to others; and
• For training of TB Control staff.
In 2017, the TB clinic averaged 261 encounters monthly. For the period of January 1 through December 29, 2017, the TB clinic has:
• Evaluated 227 clients;
• Managed 15 clients with active disease (9 new TB clients in 2017, 6 receiving treatment from 2016);
• Provided direct observation therapy 1,492 times; and
• Placed 134 clients on preventive therapy.
Financial Considerations:
Grant period starts: January 1, 2018
Grant period ends: December 31, 2018
Source of funding
Grant: $32,500.00
Required Match: $0.00
Required Cash Match: $0.00
Required In-Kind Match: $0.00
Other funding: $0.00
TOTAL SOURCES: $32,500.00
Uses of funding
Operational costs: $32,500.00
Personnel: $27,050.00
Contractual services: $3,250.00
Operational supplies: $0.00
Equipment: $0.00
Indirect administrative costs: $2,200.00
Capital projects cost: $0.00
TOTAL USES: $32,500.00
Source of matching funds: N/A.
Source of other funding: N/A.
Budget Authority Adjustment:
No budget authority adjustment requested. Sufficient budget authority exists in the 2018 Adopted budget (38013-274, KDHE TB Control).
Personnel considerations:
This grant funding is used to fund a portion of salaries for two program staff: 20% of salary for 1.0 FTE Public Health Nurse (#20002306) and 30% of salary for 1.0 FTE Medical Assistant (#20002307).
Expected measurable outcomes:
By 12/31/18, we expect to maintain the following outcomes for the TB Control Program in Sedgwick County:
• 95% of cases will start or complete therapy within the period specified by the physician managing their care;
• 100% of high-risk contacts to cases are elicited and examined within 3 months of case report date; and
• 85% of all high-risk latent TB Infection cases that consent to begin treatment complete therapy within one year.
Requirements from Sedgwick County:
The Division of Health is required to submit the following documents to KDHE quarterly:
• Affidavit reports within 15 days after the end of each quarter (April 15, 2018; July 15, 2018; October 15, 2018; and January 15, 2019);
• Tuberculosis Indigent Services Contract Reporting Form; and
• Tuberculosis Program Progress Report.
No further action is required from Sedgwick County for this grant.
Alternatives:
To not accept the grant funding and increase the County budget accordingly or to reduce the program staffing and training commensurate with the loss of this grant award, which would limit the ability of the Division of Health to control the spread of TB in Sedgwick County.
Policy considerations:
Compliance with the statutory mandates established in Kansas State Statutes.
Legal considerations:
Legal authority is established by the following Kansas Statutes: K.S.A. 65-116a et seq, -119, -129a et seq, and -202. The grant award agreement may be entered into pursuant the County's home rule authority within K.S.A. 19-101 et seq. Furthermore, pursuant to the County's Grant Applications and Awards Policy, due to the dollar amount of this grant and this being a grant renewal, the County Manager is authorized to approve the grant.