Title
CONSIDERATION OF A GRANT FROM THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT (KDHE) IN THE AMOUNT OF $920,000 TO PROVIDE OUTREACH, PREVENTION, AND INTERVENTION SERVICES THROUGH THE HEALTHY BABIES PROGRAM IN THE HEALTH DIVISION AND THE HEALTHY FAMILIES AMERICAN PROGRAM AT THE KANSAS CHILDREN'S SERVICE LEAGUE (KCSL).
Presented by: Adrienne Byrne, Health Director, Sedgwick County Health Division.
RECOMMENDED ACTION: Accept the award; authorize the Chairman to sign the grant award agreement and to authorize the Purchasing Director to provide written notice to the KCSL of the County’s intent to exercise the first of the three one-year options to renew the parties’ 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 an educational program for prenatal and parenting families. Registered Nurses and Community Liaisons provide education and family support through home and office visits. The education provided is 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 has received this funding since 2002.
The Healthy Babies 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 that are served. HFA provides services until the child is three years old, or up to five years of age, when necessary.
KCSL is a statewide not-for-profit agency that provides a continuum of programs and services; advocating for children, and collaborating 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 9* Kansas counties. Healthy Families-Sedgwick County was awarded funding in January 2010 and they began serving families in March of 2010. *Cherokee, Johnson, Labette, Lyon, Montgomery, Reno, Sedgwick, Shawnee, and Wyandotte.
Enrollment for both programs occurs optimally during the prenatal period. While the focus of the Healthy Babies 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, child health, and development screenings are priority services provided to each enrolled family.
In support of the Healthy Babies program, KDHE is renewing their agreement with the Health Division beginning July 1, 2018 for $920,000, the same amount for the previous agreement for the 2017-18 period.
Financial Considerations:
Grant period starts: July 1, 2018
Grant period ends: June 30, 2019
Source of funding
Grant: $920,000.00
Required Match: $920,000.00
Required Cash Match: $0.00
Required In-Kind Match: $0.00
Other funding: $0.00
TOTAL SOURCES: $1,840,000
Uses of funding
Operational costs: $1,840,000.00
Personnel: $1,086,886.00
Contractual services: $361,416.00
Operational supplies: $3,000.00
Equipment: $0.00
Indirect administrative costs: $388,698.00
Capital projects cost: $0.00
TOTAL USES: $1,840,000.00
Source of matching funds: Total: $920,000.00
Local (110): $372,481 (38002-110, 38004-110,
38007-110, 38011-110, 38017-110, 38021-110,
38025-110, 38031-110);
Grants (274): $70,893 (38001-274);
Indirect Rate: $306,626; and
Private Foundation from United Way for KCSL:
$170,000.
Source of other funding: N/A.
Budget Authority Adjustment: No additional budget authority is being requested. Sufficient budget authority is included in the 2018 Adopted Budget and 2019 Requested Budget.
Total funding is $920,000; funds will be managed through 38109-274 / 381095-19 (KCSL) and 38059-274 / 380595-19 (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 $1,840,000.00, said amount comprising the County's certified matching funds of $920,000.00 and the FFP amount of $920,000.00. A total of $1,500,000.00 ($750,000.00 County's certified matching funds and $750,000.00 FFP) will be allocated to the Healthy Babies 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 Division who will then compile their data with the Health Division's data and submit it to KDHE. The Health Division 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 all or a portion of 12 positions that provide service and/or support for the Healthy Babies Program and the Fetal Infant Mortality Review (FIMR) Project.
Expected measurable outcomes:
By June 30, 2019:
1. Decrease the number of preterm births to Healthy Babies program participants to 10%. (SCDOH CY 2017 = 15.6%; CY 2016 = 12.88%; CY 2015 = 11.90%).
2. Decrease low birth weight births to Healthy Babies program participants* to 5%. *Includes moms with singleton births and those whose deliveries were not considered to be ‘medically necessary to induce prematurely’ prior to 37 weeks. (New goal established in 2017 - SCDOH CY 2017 = 7.2%).
3. Increase the proportion of Healthy Babies participants who engage in safe sleep behaviors* to 95%. *Includes the space in which the child is placed to sleep, placing baby on their back for sleeping, removing all toys, blankets, bumper padding, etc. from the sleep environment, as well as, if anyone smokes in the home. (SCDOH CY 2017 = 94%; CY 2016 = 88%; CY 2015 = 65.24%).
Requirements from Sedgwick County: The Health Division is required to submit affidavit reports to KDHE quarterly within 15 days after the end of each quarter (October 15, 2018; January 15, 2019; April 15, 2019; and July 15, 2019). No further action is required from Sedgwick County for this grant.
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 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.