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Agenda 10/28/2008 Item #10F Agenda Item No, 10F October 28,2008 Page 1 of 28 EXECUTIVE SUMMARY Recommendation to approve the FY 09 contract between Collier County and the State of Florida Department of Health for operation of the Collier County Health Department in the amount of $1,445,300. OBJECTIVE: To provide local funding to augment the level of public health services provided to the residents of Collier County. CONSIDERATIONS: Each year, the County enters into an agreement with the State of Florida Department of Health to provide funds and facilities for the provision of public health services. The attached represents the FY 09 contract effective October 1, 2008 through September 30, 2009. The agreement identities the services that will be provided with the cost share between the State and the County. The total amount affected is $],773,300. GROWTH MANAGEMENT IMPACT: There is no Growth Management Plan impact associated with this item. - LEGAL CONSIDERATION: This Agreement has been reviewed and is legally sufficient for Board action. -JAK FISCAL IMPACT: The contract includes a cash contribution of $1,445,300; $304,500 for building maintenance/utilities; and $23,500 for capital outlay. These funds are budgeted in the FY 09 General Fund (001) budget in the Public Health cost center. RECOMMENDATION: It is recommended that the Board authorize the Chairman to execute the annual contract with the State of Florida Department of Health for the operations of the Collier County Health Department. Prepared by: Alan Portis, Collier County Health Department. ,- Page I of ] Agenda Item NO.1 OF October 28, 2008 Page 2 of 28 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS Item Number: Item Summary: 10F Recommendallon to approve the FY 09 contract between Collier County and the State of Florida Department of Health for operation of the Collier County Health Department in the amount of $1.445300 (Marla Ramsey, PubliC Services Administrator) Meeting Date: 10/28/2008 90000 AM Approved By Kathy Carpenter Executive Secretary Date Public Services Public Services Admin. 1011612008 10:04 AM Approved By Jeff Klatzkow Assistant County Attorney Date County Attorney County Attorney Office 10116120083;36 PM Approved By Marla Ramsey Public Services Administrator Date Public Services Public Services Admin, 10116120083;58 PM Approved By OMS Coordinator Applications Analyst Date Administrative Services Information Technology 10/17120088:16 AM Approved By Sherry Pryor Management & Budget Analyst Date County Manager's Office Office of Management & Budget 10117IZ008 9:03 AM Approved By James V. Mudd County Manager Date Board of County Commissioners County Manager's Office 10/18/200S 8:58 PM file://C:\AQendaTest\ExDort\ 115-0ctober%2028.o;()202008\1 O.%20COl JNTY%20MANAG... 10/22/2008 Agenda Item No. 10F October 28, 2008 Page 3 of 28 CONTRACT BETWEEN COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE COLLIER COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2008-2009 This agreement ("Agreement") is made and entered into between the State of Florida, Department of Health ("State") and the Collier County Board of County Commissioners {"County"}, through their undersigned authorities, effective October 1, 2008. RECIT ALS A. Pursuant to Chapter 154, F.S" the intent of the legislature is to "promote, protect, maintain, and improve the health and safety of all citizens and visitors of this state through a system of coordinated county health department services." B. County Health Departments were created throughout Florida to satisfy this legislative intent through "promotion of the public's health, the control and eradication of preventable diseases, and the provision of primary health care for special populations." C. Collier County Health Department ("CHD") is one of the County Health Departments created throughout Florida. It is necessary for the parties hereto to enter into this Agreement in order to assure coordination between the State and the County in the operation of the CHD. NOW THEREFORE, in consideration of the mutual promises set forth herein, the sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 1, RECITALS. The parties mutually agree that the forgoing recitals are true and correct and incorporated herein by reference, 2. TERM, The parties mutually agree that this Agreement shall be effective from October 1, 2008, through September 30, 2009, or until a written agreement replacing this Agreement is entered into between the parties, whichever is later, unless this Agreement is otherwise terminated pursuant to the termination provisions set forth in paragraph 8, below. 3, SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall provide those services as set forth on Part III of Attachment II hereof, in order to maintain the following three levels of service pursuant to Section 154.01 (2), Florida Statutes, as defined below: a, "Environmental health services" are those services which are organized and operated to protect the health of the general public by monitoring and regulating activities in the environment which may contribute to the occurrence or transmission of disease, Environmental health services shall be supported by available federal, state and local Agenda Item No, 10F October 28, 2008 Page 4 of 28 funds and shall include those services mandated on a state or federal level. Examples of environmental health services include, but are not limited to, food hygiene, safe drinking water supply, sewage and solid waste disposal, swimming pools, group care facilities, migrant labor camps, toxic material control, radiological health, occupational health. b. "Communicable disease control services" are those services which protect the health of the general public through the detection, control, and eradication of diseases which are transmitted primarily by human beings. Communicable disease services shall be supported by available federal, state, and local funds and shall include those services mandated on a state or federal level. Such services include, but are not limited to, epidemiology, sexually transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control and maintenance of vital statistics. c, "Primary care services" are acute care and preventive services that are made available to well and sick persons who are unable to obtain such services due to lack of income or other barriers beyond their control. These services are provided to benefit individuals, improve the collective health of the public, and prevent and control the spread of disease. Primary health care services are provided at home, in group settings, or in clinics. These services shall be supported by available federal, state, and local funds and shall include services mandated on a state or federal level. Examples of primary health care services include, but are not limited to: first contact acute care services; chronic disease detection and treatment; maternal and child health services; family planning; nutrition; school health; supplemental food assistance for women, infants, and children; home health; and dental services. 4, FUNDING. The parties further agree that funding for the CHD will be handled as follows: a. The funding to be provided by the parties and any other sources are set forth in Part II of Attachment II hereof. This funding wlll be used as shown in Part I of Attachment II. i. The State's appropriated responsibility (direct contribution excluding any state fees, Medicaid contributions or any other funds not listed on the Schedule C) as provided in Attachment II, Part II is an amount not to exceed $ 7,143,215 (State General Revenue, Other State Funds and Federal Funds listed on the Schedule C). The State's obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. ii, The County's appropriated responsibility (direct contribution excluding any fees, other cash or local contributions) as provided in Attachment II, Part II is an amount not to exceed $ 1,445,300 (amount listed under the "Board of County Commissioners Annual Appropriations section of the revenue attachment), b. Overall expenditures will not exceed available funding or budget authority, whichever is less, (either current year or from surplus trust funds) in any service category, Unless requested otherwise, any surplus at the end of the term of this A.greement in the County Health Department Trust Fund that is attributed to the CHD shall be carded forvvard to the next contract period. 2 Agenda Item No, 10F October 28, 2008 Page 5 of 28 c. Either party may establish service fees as allowed by law to fund activities of the CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee schedule, d. Either party may increase or decrease funding of this Agreement during the term hereof by notifying the other party in writing of the amount and purpose for the change In funding, If the State initiates the increase/decrease, the CHD will revise the Attachment II and send a copy of the revised pages to the County and the Department of Health, Bureau of Budget Management. If the County initiates the increase/decrease, the County shall notify the CHD, The CHD will then revise the Attachment II and send a copy of the revised pages to the Department of Health, Bureau of Budget Management. e. The name and address of the official payee to who payments shall be made is: County Health Department Trust Fund Collier County 3301 E. Tamiami Trail, Bldg. H Naples, FL 34112 5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/administrator of the CHD shall be a State employee or under contract with the State and will be under the day-to-day direction of the Deputy State Health Officer, The director/administrator shall be selected by the State with the concurrence of the County, The director/administrator of the CHD shall insure that non-categorical sources of funding are used to fulfill public health priorities in the community and the Long Range Program Plan. A report detailing the status of public health as measured by outcome measures and similar indicators will be sent by the CHD director/administrator to the parties no later than October 1 of each year (This is the standard quality assurance "County Heafth Profile" report focated on the Office of Planning, Evaluation & Data Analysis Intranet site). 6, ADMINISTRATIVE POLICIES AND PROCEDURES, The parties hereto agree that the following standards should apply in the operation of the CHD: a. The CHD and its personnel shall follow all State policies and procedures, except to the extent permitted for the use of county purchasing procedures as set forth in subparagraph b., below. All CHD employees shall be State or State-contract personnet subject to State personnel rules and procedures, Employees will report time in the Health Management System compatible format by program component as specified by the State. b, The CHD shall comply with all applicable provisions of federal and state laws and regulations relating to its operation with the exception that the use of county purchasing procedures shall be allowed when it will result in a better price or service and no statewide Department of Health purchasing contract has been implemented for those goods or services. In such cases, the CHD director/administrator must sign a justification therefore, and all county~purchasing procedures must be followed in their entirety, and such compliance shall be documented. Such justification and compliance documentation shall 3 Agenda Item hJo. 10F October 28, 2008 Page 6 of 28 be maintained by the CHD in accordance with the terms of this Agreement. State procedures must be followed for all leases on facilities not enumerated in Attachment IV, c. The CHD shall maintain books, records and documents in accordance with those promulgated by the Generally Accepted Accounting Principles (GAAP) and Governmental Accounting Standards Board (GASB), and the requirements of federal or state law. These records shall be maintained as required by the Department of Health Policies and Procedures for Records Management and shall be open for inspection at any time by the parties and the public, except for those records that are not otherwise subject to disclosure as provided by law which are subject to the confidentiality provisions of paragraph 6.i., below. Books, records and documents must be adequate to allow the CHD to comply with the following reporting requirements: i. The revenue and expenditure requirements in the Florida Accounting System Information Resource (FLAIR), II. The client registration and services reporting requirements of the minimum data set as specified in the most current version of the Client Information System/Health Management Component Pamphlet; iii, Financial procedures specified in the Department of Health's Accounting Procedures Manuals, Accounting memoranda, and Comptroller's memoranda; tv. The CHD is responsible for assuring that all contracts with service providers include provisions that all subcontracted services be reported to the CHD in a manner consistent with the client registration and service reporting requirements of the minimum data set as specified in the Client Jnformation System/Health Management CompDnent Pamphlet. d. All funds for the CHD shall be deposited in the County Health Department Trust Fund maintained by the state treasurer. These funds shall be accounted for separately from funds deposited for other CHDs and shall be used only for public health purposes in Collier County, e, That any surplus/deficit funds, including fees or accrued interest, remaining in the County Health Department Trust Fund account at the end of the contract year shall be credited/debited to the state or county, as appropriate, based on the funds contributed by each and the expenditures incurred by each. Expenditures will be charged to the program accounts by state and county based on the ratio of planned expenditures in the core contract and funding from all sources is credited to the program accounts by state and county. The equity share of any surplus/deficit funds accruing to the state and county is determined each month and at contract year-end. Surplus funds may be applied toward the funding requirements of each participating governmental entity in the following year. However, in each such case, all surplus funds, including fees and accrued interest, shall remain in the trust fund until accounted for in a manner which clearly illustrates the amount which has been credited to each participating governmental entity, The planned use of 4 Agenda Item NO.1 OF October 28, 2008 Page 7 of 28 surplus funds shall be reflected in Attachment II, Part I of this contract, with special capital projects explained in Attachment V. f. There shall be no transfer of funds between the three levels of services without a contract amendment unless the CHD director/administrator determines that an emergency exists wherejn a time delay would endanger the public's health and the Deputy State Health Officer has approved the transfer. The Deputy State Health Officer shall forward written evidence of this approval to the CHD within 30 days after an emergency transfer. g. The CHD may execute subcontracts for services necessary to enable the CHD to carry out the programs specified in this Agreement. Any such subcontract shall include all aforementioned audit and record keeping requirements. h. At the request of either party, an audit may be conducted by an independent CPA on the financial records of the CHD and the results made available to the parties within 180 days after the close of the CHD fiscal year. This audit will follow requirements contained in OMS Circular A-133 and may be in conjunction with audits performed by county government. If audit exceptions are found, then the director/administrator of the CHD will prepare a corrective action plan and a copy of that plan and monthly status reports will be furnished to the contract managers for the parties, i. The CHD shall not use or disclose any information concerning a recipient of services except as allowed by federal or state law or policy. j. The CHD shaH retain all client records, financial records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this Agreement for a period of five (5) years after termination of this Agreement. If an audit has been initiated and audit findings have not been resolved at the end of five (5) years, the records shall be retained until resolution of the audit findings, k. The CHD shaH maintain confidentiality of all data, files, and records that are confidential under the law or are otherINise exempted from disclosure as a public record under Florida law. The CHD shall implement procedures to ensure the protection and confidentiality of all such records and shall comply with sections 384.29, 381.004, 392,65 and 456.057, Florida Statutes, and all other state and federal laws regarding confidentiality. All confidentiality procedures implemented by the CHD shall be consistent with the Department of Health Information Security Policies, Protoco[s, and Procedures, dated April 2005, as amended, the terms of which are incorporated herein by reference. The CHD shan further adhere to any amendments to the State's security requirements and shall comply with any applicable professional standards of practice with respect to client confidentiality. I. The CHD shall abide by all State policies and procedures, which by this reference are incorporated herein as standards to be followed by the CHD, except as otherwise permitted for some purchases using county procedures pursuant to paragraph 6.b, hereof, m. The CHD shall establish a system through which applicants for services and current clients may present grievances over denial, modification or termination of services, The 5 ,A.genda Item r\la. 10F October 28, 2008 Page 8 of 28 CHD will advise applicants of the right to appeal a denial or exclusion from services, of failure to take account of a client's choice of service, and of his/her right to a fair hearing to the final governing authority of the agency. Specific references to existing laws, rules or program manuals are included in Attachment I of this Agreement. n, The CHD shall comply with the provisions contained in the Civil Rights Certificate, hereby incorporated into this contract as Attachment III. 0, The CHD shall submit quarterly reports to the county that shall include at least the following: i. The DE385L 1 Contract Management Variance Report and the DE580L 1 Analysis of Fund Equities Report; ii. A written explanation to the county of service variances reflected in the DE385L 1 report if the variance exceeds or falls below 25 percent of the planned expenditure amount. However, if the amount of the service specific variance between actual and planned expenditures does not exceed three percent of the total planned expenditures for the level of service in which the type of service is included, a variance explanation is not required. A copy of the written explanation shall be sent to the Department of Health, Bureau of Budget Management. () Agenda Item No.1 OF October 28, 2008 Page 9 of 28 p. The dates for the submission of quarterly reports to the county shall be as follows unless the generation and distribution of reports is delayed due to circumstances beyond the CHD's control: f. March 1, 2009 for the report period October 1 , 2008 through December 31,2008; II. June 1, 2009 for the report period October 1, 2008 through March 31, 2009; in. September 1 , 2009 for the report period October 1, 2008 through June 30, 2009; and IV. December 1 , 2009 for the report period October 1 , 2008 through September 30,2009, 7. FACILITIES AND EQUIPMENT. The parties mutually agree that: a. CHD facilities shall be provided as specified in Attachment IV to this contract and the county shall own the facilities used by the CHD unless otherwise provided in Attachment IV. b, The county shall assure adequate fire and casualty insurance coverage for County- owned CHD offices and buildings and for all furnishings and equipment in CHD offices through either a self-insurance program or insurance purchased by the County. c. All vehicles will be transferred to the ownership of the County and registered as county vehicles. The county shall assure insurance coverage for these vehicles is available through either a self-insurance program or insurance purchased by the County. All vehicles will be used solely for CHD operations, Vehicles purchased through the County Health Department Trust Fund shall be sold at fair market value when they are no longer needed by the CHD and the proceeds returned to the County Health Department Trust Fund. 8. TERMINATION, a. Termination at Will. This Agreement may be terminated by either party without cause upon no less than one-hundred eighty (180) calendar days notice in writing to the other party unless a lesser time is mutually agreed upon in writing by both parties. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery, b. Termination Because of Lack of Funds, In the event funds to finance this Agreement become unavailable, either party may terminate this Agreement upon no less than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. c. Termination for Breach. This Agreement may be terminated by one party, upon no less than thirty (30) days notice, because of the other party's failure to perform an 7 Agenda Item NO.1 OF October 28, 2008 Page 10 of 28 obligation hereunder, Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. Waiver of breach of any provisions of this Agreement shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this Agreement. 9. MISCEllANEOUS. The parties further agree: a. Availabilitv of Funds. If this Agreement, any renewal hereof, or any term, performance or payment hereunder, extends beyond the fiscal year beginning July 1, 2009, it is agreed that the performance and payment under this Agreement are contingent upon an annual appropriation by the legislature, in accordance with section 287.0582, Florida Statutes. b. Contract Manaqers. The name and address of the contract managers for the parties under this Agreement are as follows: For the State: For the County: Joan M, Colfer, MD" M,P.H. Name Marla Olsviq Ramsev Name Director, Collier County Health Dept Title Public Services Administrator Title 3301 E. Tamiami Trail, Bldq. H 3301 E, Tamlami Trail. Bldg. H Naples, Florida 34112 Add ress Naples, Florida 34112 Address (239) 252-8201 Telephone (239) 252-8383 Telephone If different contract managers are designated after execution of this Agreement, the name, address and telephone number of the new representative shall be furnished in writing to the other parties and attached to originals of this Agreement. c. Captions. The captions and headings contained in this Agreement are for the convenience of the parties only and do not in any way modify, amplify, or give additional notice of the provisions hereof, s Agenda Item No, 10F October 28, 2008 Page 11 of 28 In WITNESS THEREOF, the parties hereto have caused this 26 page agreement to be executed by their undersigned officials as duly authorized effective the 151 day of October, 2008. BOARD OF COUNTY COMMISSIONERS FOR COLLIER COUNTY SIGNED BY: NAME: TITLE: DATE: ATTESTED TO: SIGNED BY: NAME: TITLE: DATE: STATE OF FLORIDA DEPARTMENT OF HEALTH SIGNED BY: NAME: Ana M. Viamonte Ros, M.D., M.P.H, TITLE: State SurQeon General DATE: SIGNE~::\u. ~m+i. NAME:~:~: MJ:lk.. , TITLE: CHD Director/Administrator DATE: (;nJ-oheA/4 ~OC> 8 9 .'\genda Item No, 10F October 28, 2008 Page 12 of 28 ATTACHMENT I COLLIER COUNTY HEALTH DEPARTMENT PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS Some health services must comply with specific program and reporting requirements in addition to the Personal Health Coding Pamphlet (DHP 50-20), Environmental Health Coding Pamphlet (DHP 50-21) and FLAIR requirements because of federal or state law, regulation or rvie, If a county health department is funded to provide one of these services, it must comply with the special reporting requirements for that service. The services and the reporting requirements are listed below: Service Requirement 1, Sexually Transmitted Disease Program Requirements as specified in FAC 64D-3. F,S, 381 and F.S, 384 and the CHD Guidebook. 2, Dental Health Monthly reporiing on OH Form 1008*, 3, Special Supplemental Nutrition Program for Women, Infants and Children, Service documentation and monthly financial reporis as specified in DHM 150-24* and all federal, state and county requjremer~ts detailed in program manuals and published procedures. 4, Healthy Start! Improved Pregnancy Outcome Requirements as specified in the 2007 Healthy Stari Standards and Guidelines and as specified by the Healthy Start Coalitions in contract with each county health department. 5. Fami!y Planning Periodic financial and programmatic reports as specified by the program office and in the CHO Guidebook, Internal Operating Policy FAMPLAN 14' 6. Immunization Periodic reports as specified by the department regarding the surveiliance/investigahon of reportable vaccine preventable diseases, vaccine usage accountability, the assessment of various immunization levels and forms reporting adverse events following immunization and Immunization Module quarterly quality audits and duplicate data reports 7, Chronic Disease Program Requirements as specified in the Healthy Communities, HeOllthy People Guidebook, 8. Environmental Health Requirements as specified in Environmental Health Programs Manual 150-4* and OHP 50-21* 9. HIV/AIDS Program Requirements as specified in F.S, 384.25 and 640-3016 and 3,017 F .A.C, and the CHD GuidebOok, Case reporiing should be on Adult HIV/AIDS Confidential Case Report CDC Form 50.42A and Pediatric HIV/AIDS Confidential Case Report COC Form 50428, Socio- demographic data on persons tested for H IV in CHD clinics should be reported on Lab Request DH Form 1628 JO Agenda Item ['-lo. 10F October 28,2008 Page 13 of 28 ATTACHMENT I (Continued) or Post-Test Counseling DH Form 1628C, These reports are to be sent to the Headquarters HIV/AIDS office within 5 days of the initial post-test counseling appointment or within 90 days of the missed post-test counseling appointment. 10. School Health Services Requirements as specified in the Florida School Health Administrative Guidelines (April 2007). .or the subsequent replacement if adopted during the contract period. ] ] Agenda item No, 10F October 28 2008 Page 14 of 28 ATTACHMENT II COLLIER COUNTY HEALTH DEPARTMENT PART I. PLANNED USE OF COUNTY HEALTH DEPARTMENT TRUST FUND BALANCES 1. CHD Trust Funa Ending Balance 09/30/08 Estimated State Share Estimated County Share of CHD Trust Fund of CHD Trust Fund Balance as 01 09/30108 Balance as of 09/30/08 Total 1,592,551 1,128.374 2,820,935 90.245 60.164 150.409 73,796 49,197 122.993 1,528.520 1019,013 2,547,533 2 Drawdown for Contract Year October 1,2008 to September 30, 2009 3. Special Capital Project use for Contract Year October 1, 2008 to September 30, 2009 4 Balance Reserved for Contingency Fund Octoi)er 1, 200B to September 3D, 2009 Note: Ttle tot,,1 of il8rT1s 2, 3 arll.! 4 must equal !tle ending balance in Item 1 Special Capital PrOJec1s are [Jew Construction or renovatlOfl projects and new furniture or equipment associated With these projects, and mobile health vans. Pursuant lu 154.02, F.5 ,At a minimum, the trust fund shall elmslst of: ,HI operating reserve, conslslmg of 8.5 percent 01 the annual operating budget, maintained to ensure adequate cash flow from nonstate revelJue sources 12 ATIt\CIIMENT II, COLLIER COlJ~TI' lJEALTH DEPART:\IENT Part Il. Sourus of Contributions to County Health I>epartment October I, Z008 to September 30, 21109 ~"'t. CHD Tru.t Fuud l...'hl I, GP..[RAL REVE"'t'E -STATE o 150~O 0150~O o I '(I~O o J ~o~o o 15,-,~n (I I "'~o o I ~fl..J.(l 0150...1(: ()l '0-10 ,) I s(>~o (> ~ 5040 (lJ SD-lO 015040 01 'O~O 015040 1115040 [01 '040 o I ~040 1115040 o 15'-'~0 0151'40 [I I :'o(I.t(l 0);'0.+0 Ol50W Ol50W 015040 015040 015040 (115040 o 15"~O 1115040 (1]',0-10 (J~5r.40 o 1St-HI OlSC--IO 015050 AW:CTSSPOOL IDE'1IFIC~ 110' AND ELI\Tl".....TJO' ALG!CO?>;TR 10 ClIDS-Ams P-\ TIn.-r CARE Al..GJeOI'TR TO CHDS-,:"IDS PR.E\' & St:R\' & FIELD STAFF ,\Lfi/CONTR roumS.DENTAI. pROGR,\\1 ALG/CONTK TO (,HDS-\1I0R.."'T LABOR rA\Il' 5.:"'117,\TIO:': ALG:eONTR TO CHDS-l\t\ILNIZ,\ TION OLTRE,\['H TE\\IS ,\I.O..CONTR 'fl) CIID".P,DOOR AIR ,\SSIST PROG ALGlCONTR TO eHDS-\lClI HEAlTH- rlEl D STAFF COST .....LQ/CONTR TO CHDS-SO\TREI{jN l\f\H':NrrY ALQ'CO"TR.JBlTIO'- TO CIIDS-PRIMARY CARE -\lGIF AMII, Y rLAS'\I'>G .AlGilpO HEALTHY Sl ARrIPO '\lGiPRI\I....R Y C~RF. ,\lG/SCllooL HEAL Tll SL'PI'U.\E1'>;TAL t'.HF. - ESCAMBIA CHD 51.'ppORI 1'0>''1'10'- CLOSING TilE G ^>P PR00RA\l CO....IMU1'>;n Y TB PRCXiR.\\1 Dl'NTAl SPECIAL I '-IT LA J 1\'[ PROJECTS Dl'VAI. TEEN PRFO,-.:",-CY PREVENTION r~HANCED DE'o/T.-\.L SER\'J('ES fL n,pPP SCREE'\IMj &: CASf. 'fA ,,-"GEMI:"T Fe_ HEPATITIS &. L1\'fR HILl'RE pREVENTION,CO:, TROL HEALTIIY BEACHES \fO.\lTORl'-:G IIE,\LTHY PEOPLE HE.....LTHY [O\1\IU'ITIE$ H1V'AIDS JAIL u,\;K.\Crr PROJECT INDIGENT DE"T.-\L C'.-\RE - Ese ,\\lBIA LA LlGA rO'oJTRA EL CX'\CER MEDJVAN - BROV. ~RD METRO ORLAI'LJO L'RB,,"o; [,EAGUE TEENAGE pR[O PRE\' PE'o:Al \fER CLI'IC - \!L.l,\II-D.\[}E PRIMARY CARE SPECI~L DENTAL PROJlCTS SpEllAl. 'JEEDS SHFI TER PRCXiRAM STATEWiDE DE'>TISTRY "nWORK - ESC:~\lBJ.A STD GENERAL REVE,\;LE A1G;COr-.'TR TO CIIDS ~h.OllO ~::, '.-1 ;";'1>4 Q<',l% 2<.58Q (I 2' .167 ~6,65R :Hb,5JI) 11:- ~6i h' .,8 2,].856 7614 o o o ::."1~.~78 Gf.:-..ER....L REVENl1E TOTAL ~.71J,~90 2, _'.;0' GE'f:RAL REVE'i('E. STATE G 1 ~o 10 (115010 (11-1010 OJ 50 10 OI~:1I0 OI5-0HJ OI.I.;.{)1:1 D 15010 o j:'-Olf) jO.8~9 -\I.UICONTR TO CHDS-REIJASI'.G TOBACCO TF Ii ,\SIC scnOOL HEALTH, C\1S TF 8 ASIC SCHOOl HlAL TIJ . TOBAC('O TF CliO PROCiR.-\M Sl'PPOR1 C HLJ SI.T?PORT EXpr'Sl: HEALTHY PEOPl.E IIlAL 1HY CO'.IMl.lNITIl.S l3_j 76 I';IJj-t ..::; -;:7:; r--HRUNJr DISE.\SE PRE\T:'TIOf\ I'ROGRA~l Fl HFI'A rlTls & Ll\ ER H1LlRE PRFVENTIO' CO'-lROl. flT~L SFRVICl SCHCX1LS TOllACCO If 33.uW J 7X. '71 10".'-16' County CUD 1'....1 ""nd o (I o Il o (I o o (; o o o o o Total CHD Tnt.1 Fund It"oc.''\ o o o % 000 92,~~4 65,66-1 9('_296 26.589 o u o o o ~6.267 46.658 (I o o J:16,51Q o o J 15507 6;.4.18 o o o ::~,g56 o o 7.614 o (I o o o u :'72:.478 3,713.2'JO f.. 30,M9 1.',376 131."];4 o o :;:;.OlJ{J (J 1 i'~. """12 10996; Agenda Item r'IJo. 10F October 28, 2008 Page 15 of 28 .Olb<r Contribution o II () () o ;; ,,/'1 Tot~l o o o %_000 92 ~44 o o 6HM 9Q,2% 26589 (I o II (I () () o II 26,267 4h 658 (I o II 336.519 () o () () o (l o 11~.56: 6J.4~R u o (I (I o 23.856 o o 7,61-1 (I (J o o o o o o o o 2.722,4 78 :;.']3.:!~ o '('_849 13,376 l:i L23~ o o (;0 r.. " s:' 7~ (J :~ .(}i)~l (j 17b.5'~ (J 1(19%; ArrACHMENlII. COLLIER COl1~T\' HEALTH DEPARTMENT Par1I1. Sources or ContributiollS to County Health Department October I. 2008 to September 30, 2009 ~J15[11D 2. 'W'l/GE'\'FKALRE\E:>OTE-STATE (lL'OID o 15G 10 015010 Cll ~o 10 rl!~OJO 015010 v! ~OIS o 150~O ~ 15020 0150211 PALE EH I'l'EUC' 5\l. JM~II'\G P(~T PROGR \~f SCHOOL Hr."L nl.Si..PI'~E~;E\lTAI Sl:Pf'LEM[t>;T,o\~ CO\lPREHE\SI\T S('IIOOI. :-!EA~ ,H - TOB TI roBMTO PRE"E~T10', & CESSATION PROGR.-\\I \,-\RI(,:'I.I A I~I\I:S!L.-\TIO" REl)UR'E\lEr-..T TOB.-\CCO IT YOl',lI SCHOOL & AE-rER SCHOOL PROGRA\I Summer" ~ood Prcgram .\l.G,CO:-':TR TO CfILJ5-illO'.lEDLC AL WASTE DE!' .\D\l 11- ALGICOJo.:TR TO CHDSS"FF DRINKI'lc; \\;.',TER f'R(;:[)EP ..\n~ FOOD AI,D \\,.\TCR80R',E DlSE..\SE PROGRA\I AD'.I.iTDACS i'o"O'\ GE',ERAL RE\'F:i\l.E TOTAL I)nooo J, FEDERA.LFl''I[nS-Sta.. 0::.,000 1:""'000 :::o'O()O n(jft~YJ U(17:J{liJ 00701J() (Jf';OI)O (i[:,;'n~~fI o~;"'or,o f)()iOOO ~:ljiOU!) (JO?flO'lf. 007000 oe./O(iO ODiO(l(J IXJ-:OOO 007(V,:{1 Ci]7(l\lij 007000 (l(17(}l~ {)o:~) 0:';7fI0(1 (.C70OC' 00'7000 00"000 007:,(1<) 007000 (10";''-'00 (IC-;l)f)t:) Co{J"'OVI) L~]"':'OH() O(liIlOO O(l:U04) AFRI("'~ A\IERiC.\'\ ';'fS n\(; i\:ITIATI\T I,~AT!J AID.'; PREYE'\iIO'\ AIfIS Sl'R\TllU:\CF D10,T,RR SLRn:JLU,V:c & EPIDL'\J:()lOGY BIOTf:RROR1S\1 PI ~'\.';r\(. & RL\DINESS BIOT[RRORJS~L HOSPlTAI. I'RcPARF.!JNESS CHILD! 100:1 LEAD ~()IS()\;I'\G fRE:\'I'''TIO'\ l'O.\5TA!. BF ACrI \1(\\'''IlR'''(, ~RO(j"A"l FeTF'AIDS ',10RBIDITY l'(jTF/[lRL\S: & CEil. I'!C.-\L CA "\F.~ AD\I:r-..,CASE \LA;O; FOTF:fAMIL Y 1'1 .\ri\I"C TITLE X SPEC.~L IriITIATI\T:S rGTFTA\lIL Y 1'I.'\N,NG.'[JTLE X FGTF']:-..!Ml.I'\J IZA TJO~"\CTIO'; PL.-\:J Fm F.WIC AD~W~ISI K."no'\ FL.ORIDA P.\~DF.o\IIC :'-;rLl.'H,ZA HFALTH PR(X:,R.~ ,I FOR KEFf (iF~:S HEALTILY !'FOPLE i1L\LTHY Cll',j.\1l'NITI [S HI\ I\lCml,\n SlR\':]! L.\r-;CE :\1\lUJ<IZATIO" FIELD STAFF EW""SE 1~IMUNIZATlOr-; SPE:C!.'.!. PROJECT 1~1~I[lI\JZ.~TI()N SI.'I'PLF \l1:.:\T "I. 1\1\1l :r-.:r7,~T10.'1 W:C.t.I'\K.\GFS 1\IMUNJZ.\T;o~~-\\K L1~,J.;.,\c;ES MCH EJGTI'-(;ADSDf\ SCHOOL CLl~~I(' MCn BGIT.HEALTHY ST.ART LI'O "tiP L ,\8 CAP - fjLOLCX],C\L AGEJo. TS ~"Jil7-'J8 - FOC'.'S (' PHP LAi' lAp. E110LCXiLC"L AOE\iTS 200"-OS .I'OCL.'5 D I'HY-ClTIE'_, RE\PQNSE L':tn.UII'E PIlP-(T,IES IU.,srO',<;E 1....11 I.\TII. F 2i10"'-c(~18 RISK rO"',\lU-:I( xrrO'.:5 ~YM, ""HITE RY.\N WHP"F' F\1FRGI\G Cn\l\f: "'\.T~"I!:::S RY.\"! ',l..HITE. \1D5 DRL'G ..\55151 PR()(1-~V\l~" RYV, WHI1T-CO\50RJ!A s.... eHO TrLt.t1 fund I <,,-,h) 4( 85~ JO.~ L I 9"'-.181 09.<0 (/7(J.660 :;;-1,]82 10(i S28 8:::&~13 3::;.000 2'0 -HU '-;-1 :)Q 81,:'.H 40_~()G 1.4127R~ ]~.U9J 8~.C'6'/ 2.C :, ~Q 1:;._;68 4n ~ DB '.IS 1 County CHD Trust Fund. T<>tllICHD 1'ru.1 Fund l.fJl..hl n (I ::!l.L 181 0 0 IOQ,828 8].803 G 35,000 (I 2C,Jl4 " (I :'.t, :5') 81.5:; I G 40.2C~ (I 1..112,71\8 0) 15.090 0 85.OIJ9 v 2l\~i;9 0 0 ]2:<68 -IOYI8 (J l' (I 0 OJ e (I 0 () '" T7_~)51 0 Aaenda Item r\Jo. 10F ~ October 28, 2008 Page 16of28 Oilier COIltribulion TDtal o o o o .J.6.853 Inl.! 117.281 o '> Q50 o o 670066 o o 21-1.102 o " lOl) 828 o 82,80:: 3HIllO o 1(1....~ o a " 5~ ':' 59 o o 815,1 40,206 L 412.788 15.l)90 85.'J69 o -.!O.6~9 o o 12,3bl\ -IO-l1l8 o n o o o o o o o o :',;1'5 ] (J Q ATTACHMENT II. Aqenda Item No. 10F - October 28. 2008 Page 17 of 28 . COLLIER COl.11'\T\' HEALTH DEPARTMENT Part II. Sources of Contributions to County Health Department October I. 2008 to S1:ptember lO, 2009 Sial. CUD County 'Fo...t CHD Trutt hod ('HD T...., Fund Odwr (ush) Tmsl had It-..h) Conlribalina Tntal J. FEDERAL H:'iDS - Stnte OP7(1("}(1 STD ffDEIt\L GR \'-1 . CSPS If (J 0 f1cmoo STD PROGR.\\!, PH\SIClA'\ TRAI>;I\lG CE\ Il:.R 0 Q Q 007('00 STD I'ROORA \II"~ FRTII.1TY PRE\'[NTION PROJECT (lrp) 2,812 '! 812 0 2.812 00'7000 5T,) f'ROGR.\\I.l'.FER r1LITY PRlIT\lTIO'\ PROJECT 111'1'1 ~.81~ 2.812 0 :! 81J 007000 SYPHILIS 1':L1~II'\ \TIO' 0 0 0 (){I7000 TITI.!:..x 1l1\..\lm, pRO/FeT 1\0.5;8 210.528 0 210_~:!~ [)(nooo TITI~. X \-.IAL.E PROJECT 93,841 93.841 93841 007000 TLlBER('LI.OSIS CO'-TROL. FEDERAL GRA\lT 106688 0 IOb.688 1 06 688 007lH)() ilK BRFA5TFEEDI',G PEER COU:\SELlto.:G 39.5;] ~l) ~52 J9.552 015009 ~IEllII'A5S WAI\ER,HI.THY STRT CLIENT SERV1('~S 0 0 " 0 0 01 :'OU'I \-lEDIPASS WAIVER.SOBR \ 0 0 0 0 01507"5 REFL(jEF: SCREES1'\G } 77.\.)0 0 Y.'7.000 ]77.000 015075 STATE E:\\mO',\IEST\L FEES 0 0 FEDERAL. rpms TOTAl, 3. D6 259 3.1~6.2'~9 ;.1 ;6.2~9 ~, FEES ASSESSED BY STATE OR FEDERAl. Rl'U:S. ST\ TE 0010;0 TA'HoIING F,\ClLlTIF<; 50011 5.000 0 5 I()(I OOIO~O BODY PIERCI'-G 0 0 (jOJO~O ~IIUR.~'H HOlSIV; PER\I!T 34000 0 34,000 34,000 CiJI010 MOBILE HOME A'D nRKS l7.l100 0 17.000 17.000 OOIO~O fOOD HYGIE'\F pEK\lIT 20.500 2()..~()() 1{1,5OC (lOIO~O I:l!OIl.V.\RI1 W \<;T[ nR\IIT 19,00 1 ~.\. ~,t.YJ jQ 5DO 0[11:':20 5WI\I\1ING POOLS ~~o.ooo l~O.(KlO 2~C'. 000 00 1020 I'RIVATE WATER rO....STR PFR\.IIT 0 (I 001020 PLJBUI. IV ,\ TEK A:'-;'\L -\L O"ER PER.'-'IlT 6 GOO 6000 6,000 00 I (l1(l Pl.BLlC WATER CO'S] R PER\ilT 0 0 0 001010 '10,,-.5I)WA SYSTF\I PER\IIT 0 0 (l 001020 SAFE VRli'.K1:-JG WATER 0 0 0 CiJL092 "0'"' SDWA LAI:l SA \lPLE (; 001092 OSDS VARI.\:-,C[ FEE () {) 0 0 (101092 FNVIRON~lE"TAL H[A~ rH FEES 147. ~()O )47,JOO L47300 001:J92 OSDS REPAIR PlR\11T () l) 0 00 I 092 IlSDS PERMIT FEE 0 0 0 001092 1& M ZONED OPER.\TI\G PERMIT () 0 0 O':J]09~ \EROBle OPERA 1 !'G PLR\lIT 0 O{I!Oi)l SEPTIC T,\Kf.: SITE E\,\U...\TION 0 0 0 0 00')1 :70 I ,>,B FEE 01[\11('.\1. ~'AL YSIS 0 0 0 (Ii)1 L 70 'JONPOTABLE W,\TER '....AL YSIS 0 0 0 0 00 II 70 WATf.R ....ro.:AL YS:S.POT.\BlE 0 0 0 0 0 IJ 1')3(\4 \1.0A I'ISPFCTJOK FEF ~(~OO (I 9.100 0 9.1l>O FEES ASSESSED BY ST..\ TE OR FED[R\L RfTl.ES TOTAL 50B,500 5(1R.~OO 508,500 5. OTHER C\SH CONTRIBlTIO",S - STAn: 0)1)30.{ STATIONARY POLll T,''-T STOR.\(;ET.\NKS () 0 0 Oi)(.(XI! DRAW LX)WN FRO\I PI. Hll( HEAL TH ,-:NfT 90,:45 u l)(),145 90,245 OTHER L\SH CO~TRIBl'TIO:v.S HIT.\L 90,;45 0 9fl.2~:\ 9('_24 ~ Aqenda Item f\Jo, 10F ~ October 28, 2008 Page 18 of 28 ,\ IT ACHME'\'T II. COLLIER COI'NTY HEAL.TH DEPARTMENT Part 11, Sourel's of Contributions to COllRly Health Department October I. 200N to September 3ft, 2fHI9 s...,. CIID Tru., Fund [tullo) Total CHO Trus, Fund 'ltRi..h\ ('ounl)' CIID Tn...' Fund Other Contribution U'II.:~6 6, :'IIEDIC.\1O. STATE/COl".;n (Wt<.)"'I6 (IOJ078 0010"<) no :080 00: 081 OUIOB1 00 I O~3 OQIO&7 [)"11l8~ ':lfJI1..l': (1(,1191 lJ01102 DOl :93 001! C;-l l)(l! ~(18 C(l1 r~:,9 \ltDI(',\1D PtL~R\!.>..CY \IEDICAIL> TB ME:JIC\IL> AD\f1\;ISTR..\ TlO\, OF \ACTI\,E \fF01CAID CASE \1 ~'-,~Gnltf. T \IEDICAID O~HER. \IFI>JCA1LJ CHILD fiLIi- ~H CHECK I 'f' \lFDICAID IJENL\1 ~IEDJ('..\tI) FA \111 \' PLA~;~.I"G \IELJIC',\lD STD \IEDlCAID ,....1OS MEDJC~ID H\IO RA n ~H:.DIC\ID \L\HR'.ITY \IEDICArD CO\IPREIiE'.SI\T ni:~D \IEDIC AID CO\1 P~E Hr\s: ',E ADl.! T \IED1C\TD L >..BOR..\ TORY \IEDlPASS 53 00 ,\D',I F!T 200 ~Ol ~(Lt..?21.J '00. 7~[J 1:)_,10 l~ b'lO ';,001) rrJ,mJo JO cr;(J 2'),OOr. 2tJ.00'1 10.:JOU 41)1)(l() 0 ~:f; J ~n 53~ q,o 9121(J(l ";D :-' ('57 1.500 J-;.~91 :4 "79 4c,17(1 .) 0 () c- O 237 1.7'-'3 ],000 '.<:;r: c<o )I,I(J tool ;,c83 XI"'17 ; .54: 000 (I (J 0 :\t[DIC,J"W TOT,\L \1cdi:.:::.aid l.(I~\ In,:olnC P:..:ol [llsoao :. ,\LLOC\BLE Rl'\EN{'[. ST..HE REFllNDS ():':I.O(IO 038000 PRIOR YEAR ',\..\RR.-\"<i ,-.\LLOC-.\BLE RHTNl'[ TOL\L I~ \-10~Tfj OLD \\-ARRA:-\T PHAR-~IA("Y SER', ICES L.~B()R.,\TOR Y S::R \'lCES TB SER\'lCES 1~!\.1lJf.IZATIO" SER\'IC,'S STD SER VICES ('l);;STRI;cTION,l~["O\'.\ TIO\ WICFOOD ..I[)AP IJF:':TAl SER\KES OTHER (SPECFY) 01 HER ,.SPECIFY I 0 0 (I 16(1,140 18'.~40 (i (, 0 (I (i <)<)6.6% <, (0 0 <, 0 S_36 l,l)b '~I J_.ne.(){l~ () (I (I 0 0 (l 0 C' " () j 1. i~1.':!l)4 (I (> (, I .JJ_".30(.' 1.445.3011 14-15 :;r)(; I 44<;.':(l(1 ~_ 'XH) ~ ,'t(l(1 II, OTHER STATE CO,,"TRIBlTlO:'l;S :"OT IN CHI> TRl'ST Fl:\D - ST,.\TE OTHER ST.\ T[ CONTRlBl'T10NS TOTAl. OCl8030 9. DIRECT COPl'iTY COI\TRIRlTIO'lS - COrI'iT), Bee Ccntn'buUNl ftom f1e;:J)th Cart" T::t>; flrISI::":' /lIRECT (Ol'~n CONTRlfll 'TlO,," lOTA L Bce [or>l:ributl~r: from Gent"fctJ Func ul.riOt,:':;. 10. FEES -\lTIlORIZEll R' COl:>'TY ()RDI";\~CE OR RE:SOUTIO:-' . CO('i',TY ~t.t-.:S rR~.l \-1 r.;L S.T.\T!':TI:"'~ Total ;00.;31\ (> o 25,000 ~(I.OOO JO.(>OO 'J "11,100 o (I 3.5fm 42.17(1 o (> o \000 o o <00 (I [,0 UJ7.000 o () IbO)~D 1~7(oJO {I 'll'.l6,-tl96 () (I 8.~HI26 -n6.60~ o 1114U[).J I JJ<."OO JA45.]O:) 2000 ATTACHMENT II, COLLIER COUNTY IlEALTH DEPARTMENt Pan II. Sources orContribulions to County Hullh Department, Ortobu 1,2008 los.,plemrn,r 3U, 2009 SIlIIt CHD T ruAl FUrMl 4<"". 0010'- 10, FH.'\ AlTHORlZHl BY COl'''in ORD[~ANn: OR RESOLliTIO:'\' - rOll"n (I01lll: 00 I O'~ OUI(I?"7 00 I (~r,.+ 0'1\004 OOIII~ lIlllll' orl\ 117 0010"":; RABIES \-\C('I'\F CHILD CAR SEAT PROG PERSOi'AL IIEALTH fEES AIDS CO-I'A YS I.OCALORDl\lA'\(T FEES ADLL T Eq:::R. PER\lIT H:ES '\r:w BIRTH CERTIFll-ITF, DEATH CERTIFIC\TES VIT ,\ I. 5TA IS-AD\I FEE ~(llEr-:lS FEES .\ITHORlZEO BY cO[':\n TOTAL co--ray {or th(' :~IDS Cine P,ogram II. OTHF.R CASH AND LOCAL CO:'\TRIB1ITIOi'S - r:Ol""'TY 00 I lIlI'l :JCIQ~'} 0010~q 001854 00JO"7 001119(1 OOII'XJ on'o~o U(l51.q.1 0070 i(1 (l080J(l OD8010 (){J80,n 00&060 C 103r.O (110,01 o 1 0~(l5 OlOV)Q 011000 ,,!l(tOO (111000 (111000 011000 0110(J() 01 )O{)() 011000 o IIOCt OIIO:I~ OJ 2020 o ]](J21 028820 (I<KHlfJ2 01 I (I (X) OIIOQ(1 011(100 RETIJRNED CHECK HE\l THIRD P.,\RTY RtI\IBL'RSEJ\IENT HEAl.TH \1 Al\lTf 'i.\ 'iCE ORCo,\ '-I (HMO) \IEDICARE p-'<ln D RYAr--: WHITE TITLE ]] \1Hll( "'F:E PART R Hl:alth ~.1tunten3I1ce C>rg,jm1z<tlior. ,:-- TEREST EAR 'lED ',-'TEREST EAR'-iI.OSL\ TE 1'- H,S T'.IDll .-\('('()~:';T l.S. GRAJo.,TS DIRECT Contributwn from Clcy' GO\cml~en1 Con1rlblltion from He-31th C.:l!t! Tax nOl thru BCe Scnooi Board ContnbullOIl Speci.R1 P'r0je~t COfltllhul111n S,\LE OF GOODS ..\(';0 SERVIlE'S TO STATE AGE\C1ES EXI' WITNESS fEE CO'iSt'l. T\T CH \ROlS SALE m' PIl.\R\l >,CECTl( \LS SALE OF GOODS Ol'TSIDE ST\TE GO\ERN\IE,-T COlJi':TY CO\fJ\I!SSIO\ - UP fl.'ND GRANT-DIR.I:n GRANT-DIR.ECT CiRA!'-IT.OIRECT GKA\T-DIRECT GRANT.J)JRECT GRANT-D1REC, GRANI-DlRECT HEALT)IY START ('OAUTIO\ r-ONTRIBUTIO',S C ASH DONA no'\s PRI\ H!.: fiNES A'JD fORfEITI.RCS RETURN CHECK CHARliE ]'.:SlJRA NCE RECO\tRIES-OTIIER DRA W f)OWr-; FRO\! PI. SLlC HEAL Tll U'\ll GRAt.,,'T DlREC;'.()l_-; ~'..Tt '" DE::'".JTAL (,RANT DIRECT-HE"'L III C ,\Rt DISTRIC- PAHOK~E GRANT [)IF:ECI.\O\ -\ ,',I\ERSln CH:) TI(-\INI\(; County CHD Trost Fund o o o 2U4.:531 (I 66 L800 (I bb,Ooo 21J).~JOO ~,OOO o II 1148;;32 o II <07,08 I o (I (I %5,000 o I2 U03 o () 80,000 o (I (I (I (0 (0 () g2,720 197,120 (I o o o o o o ~ 18.738 o (0 o 380.o[)9 o () o 60,IM () (l ToaolCHD Trusl Fund fr-a..h\ o 104.53:! 661.800 li6.000 21(1,(100 4,000 1.148yn o ,n.98 I (I ~6,.OOO 121.70; o (l 8D.ooO (l o u o o 8~.7:W u 197.1'0 ~ 18,n8 380,60" o o o 6(J I (,.j (I o Agenda Item f'IJo, 10F October 28, 2008 Page 19 of 28 Othtr Cantrihotion (l o () " (J o o o (I o Total o o (I (I 2114532 o o 11 ""/.800 o 66,000 o o o 210,000 II ~_OOO o o 1.I~8,332 o o (I () o ,r,7.98I o ,,,,,000 o !11.703 (I o o o o 8U'Joo (I (I o o o (I o u o o u (I o o o o o o 82:"0 () 107120 (I o o o o o 418,718 380.609 I) (I o o () 60.1<>4 o A lTACHME"{T II. COLLIER COl!!\TY HEAL nl DEPARTMENT Part II. Sourc~s ofContributinns to COUllty Health Department Ot'1()ber I. 21108 tv Srptemb~r 30, 20C19 Stot. CHI) Tru.t Fund Ita..b) County CHI) Trust FWld 11. OTH ER C\SH Al\D LOCAL COr-. I RIIlFlIOJ\S - COl "T\ OIIO(fJ U1<.-\'H c)IRECT-(()[,",TY HEAL [H LJt/'AIC .\1L'\1 IJ,I{LCT SER [J' !U:.C -,-\RI{OW liR-\NT DIRrC'-.-\KKUVo OJ 1(11.10 OTllrR C \SH .\N[) LOCAL CO\TRlBITJOl\S TOTU, (111000 12, ,-\LLOC\BU.I-U:\'E:\l[ - COl':\n (118(10{= REFI'''DS PRIO\{ YUR W-\RR-\".-;- 1: 0.\-10'\1 HOLD W-\RR \'\1 O~7(1(~~: Cot,n ALLOCABLE. len D l E TOTAL (I~S(IOO 13, Blll,O"'GS - con" IT ~'\"UAL RE"H."L EO', [\'AU,T \ ALLIE I:ll.ILUI'\{; .\1..\I'\'1'E,." '\CE INSLlR,-\'\(,E l..rTILIlIES. Tt"kptwnl:'_ r~..'::I~lc. \'aler!..: Sewer GROlJr-;o;; .\l,.\I,TE'o--\'\CE OTHeR (SPECIFY, \\'1(' Gpld..-n U.aTc R~nt OTHER (SPECiFY; III ILDI-.-GS TOTAL ].I, on, FR COI'J';T\' COI'TRIBITJO:\S 'iOT 1"1 CHI> TRl'ST tl'Ll - CO! "'TY Fr)L' II'.\IE'\T," EHICLE PL'R(,; 1.\5[S \'EH1C,F I:--SlRA:--;CE VF,HIC:"E ~1-\IYl E~\\lCl OHlER ('(X AT,. CO','R1B1ITJO'; :SPECl,Y I OT[ IER C(kNTY CO'-;-:l\18UTIO", (SI'ECIFYI (I OTHER COlJ~T' l'O"TRlBlTIO:\S TOTAl. GRA:\D TOTAI_ OlD I'ROGR.-\.\I ~ 7~c.c'l:' ;,011,384 TOlal CHI) TTllSt hnd I,..,hl o o 1.. (,7.36:7 ,L\,genda Item hJo, 10F October 28, 2008 Page 20 of 28 Oth... Contrim"lon ',",O~R 74342 :,;" 800 105 J49 48,1)00 [> 1.0'Jlf.~:;9 13.50D !O.'?Or.- G 4-3,?OO :1.264.743 Total o o o o o o {I (. {I :.-t; t035 L~ 1~.U:~~ () () (I 0 0 0 () [> () 0 c' ::--il~.(j35 II o o o '2',0-18 -;~.3~~ (I 1.;6.S00 J95.IN -IX orjf., ! J}7().~:q 2~.5{,(l Iq 7()(l o o () 4'.'on 26!l3&.~70 A IT \. CHMEN'fIL COLLlF.R COUi\TY HEA~THDEPARBlENT Agenda Item No, 10F October 28,2008 Page 21 of 28 Part III. P"lnned Staffing. CII~nls, Son-ice$, i\nd hpcmJitures :Ry Pr{)j!l'llnl Service Aren Wit hiD Eaoh I.onl Of Sc....ice .\. CO:'ll:'lIl':-IICABI,~~ DISEASE CO:--'TROL: VITAL STATISTICS (1&0) "t\ll'~llA TJO:-J (lOl) STD fJD2t ~IDS (103) TB CO~TRO~ SERVICES (104) Cm,!M DISEASE SURV (106) HE?..>. Tl1'IS PREVENTIO,", (109) Pl'BLlC IlL"LTII PREP 'I"D RESP(116) CO:'lt...JI'''ICABLE. mSEASE Sl:BTOTAL B. rRIMARl' CARE: CH.'{ONIC DiSEASE SERVICES (~IOI roBACCO PREVEI'o:TIO" (2lZ) H O\IE HEALTH (215) \\. I.C (n,) FA!,1IL Y PLAN'o;ING (223) 1~!rR()\'ED PREGIo.:ANCY OLlTCO\1E :22() ilEAL THY SHRT PREI',\TAL(22") CO\tI'REHE'-;SIVE CHILD Ii E.". L T1' ;229', HEALTHY ST...RT IN!',..."T (231) SCHOO:'" HEALTH (234) CO\1PREHE-:SIVE ADULT HEALTH (237) DE'-T'<L HEALTH (240) Healthy Start Imer.:onc=ptloo Worn..;m (l.31) PRI.'\M,RY CARE SUBTOTAL C. PIVIROi'iMENTAL HEALTH: Water and Onsile Sewage Programs CO."STAL BEACH MONiTORING (3411 L1MrTED USE P~fAL1C W,...I!OR SYSTE\IS d57'J DUB~IC WATER SYSTEM f'S8) PRIVATE WATER SYSTEM (359) I>;DIVIDUAL SEWAGE DISP (.;611 Group Tolal Facility Programs FOOD HYGIE'iE (J4~1 BODY ART (349) GROLl' CARE F.\CILlTY (351, MIGRA"T LABOR. CA~~P (352) HOUSING,P:JBLlC BLOG SAF:oTY,S,NlTA 'JON (353' ~1OBE.E HOME AND ro\RKS SERVICES [.1\~) S\\'IM~'II\'G POOLS/fi'lTHING (360) B!OMEDICAL W,..STF SFR\KES 1:,6.) Ootober I, 2008 to Septelilber J!l, 2(1(19 fO.OII) .T['.. (Jion.. 100.52 2.88 1743 909 20.06 1045 6 14 398 6.85 '1688 j<.&S8 256 1.37 0.00 3479 1.55 560 IR02 2A4 3.59 803 B 73 12,84 i1 00 ~3,~99 421.039 027 0.59 0.02 u 00 687 775 5.86 0.01 C 86 6 ;4 000 0.25 5 io:l r 88 Units St....ira 12,609 3~.72:l 16.282 ,1,w8 10 i8 1.07; 1.4S2 :,420 lJ 1.!35 40C 1:':.3 ~:; ! 18.193 20"5 Iq( 1,823 '42&1 244 55~ 14529 ~n,,7:\O \,771 ~23~ 28,880 (j...J} '4& o 2.016 3..'07 10,~.12 268 '?~ 284 71) 1.596 ]" (ng ;;;~~ Qlllrteri\' [xptmliturt r~ln 37,877 339,259 13,j6.t 1.<\447 476,6% j ~,~.U\ ~',4g0 167,376 ',826 135,764 5.~(~4 6C,567 <122 110,0]4 lA'J0,96<J 381 60,318 l.ng6 78,2)] D 470,93 ! ;,861 7,?n 1 10 1.368 202,117 188.879 4.8~5 64.366 }j,l17 142,124 8.012 225.565 211,J&3 o 1.958.239 947 GAIl 11.268 61':'2 lJ.3:!2 1<9,~66 167.777 un 69,H80 U80 ,7& 10,8]6 66,7 58 1.,166 ,'3 3,2&8 %,485 7C'S 16.25S 2n" (Wbolo doll... only) 2~fi1~,4 " 1.2.' 1 4 ~8. 907 145,8~8 107 785 ji2.0.39 3n1 3~.Y;4 46,0'8 ....11,QOf) 155,035 ~23.00I6 176.100 127, ~4S 4' 491 95,,15 189.371 1.2"2,159 U44,1'l9 o 53.95 > 58.176 23,:'65 64,630 46:,(.4S 474.362 70.306 '18.425 11..791 '10.70] 250,5Q:J 274,103 41, 7~4 ~(',S 14 135,4Ql 4&.:;8. 59] 15 1 43,Q()9 I B4.3~9 :! 16,89~ 180,13.1 ~9r,,859 1,602.672 19()5,828 122 110 134,11,4 149.359 68.9'18 16.6(14 69,168 7G,895 .',4 ]6 14.222 9711 12.1.13 68 1500"5 177.446 67.t}b7 1):'l6 i{\~~9 9CT3 I. 5R4 ':,331 11(J,'08 q.-'l, I : 3.))~ 4th 168, 90J. "~6. :'82 Ji_323 121,959 ~91.~~6 640.126 912..1:;8 105.635 444,9.'5 117.712 10479() IR;,J36 296.4'9 ~70 I; J 14X1V84 ;.2'1'>,5R2 ~ 16,901 o 45,6;'4 1'5.146 55.6~9 ,n~17 o 407,091 1.80S,633 57,426 32J.';!8 184.659 106,91 I )12,'169 461.6<,15 3'.5,12 8e.157 4~, 5 '~3 la=:, 96 7 8~.l1-1 402,87~ ]11.%6 404,"97 237,828 195.: 14 1.514,311 4,493.540 L046 0.210 3~,259 19.359 10,8M> 121,457 ,83,588 147.026 427.972 52.:'(,3 6~,493 16,H4 71.088 o 12b.630 :3B63 2,535 -LID'? 1("l,~27 5JOI 14,501 I ~~_9)6 'U4& St~le .C~urity , 153,852 521,040 149,346 1.176,197 150,014 192,120 35,992 90,059 1.469, &20 82.955 4R.IOS 605,357 564.:50 115)49 6.116 102,194 3::!7,727 62 LC04 8 o 2.487.510 41.6:;5 1.168 III 171,934 1'] :,.63(~ 189.895 50.366 194,160 270.2") 1.754 Grand Tfl..1 ) 53.g~~ 978.::22 541.6~2 2.09&.835 194.969 48&.609 306,16.1 606,%0 5 769,402 218,101 122. 12S o 6,&99 1,8IS.)yl 5,797 32';',52~ 712.268 t.(\26.445 195.506 209,093 505,669 '32Jl24 1.016762 6981,050 1I 31,259 52.481 1,168 67 1'8 ~5~,5:!2 (>4 1608 259.J88 ~,.536 54,473 IOUS' 14.~04 42f..2J7 ):.001 A TT.-\CH~IENT II. COLLIER COUNTY HlALTHDEPARTi\IENT Part HI. Planned Staffing, Cli~nts, Sen,ices, And F,lpenditurcsBy Prug....m Sen'ke Area ..Vilhil) Each l.e\'el or Sen'ice C. E:'o'\'IRO:'\J\IE'iT'\L 11[,\1. TII; Facility Pro~rams T" ""0 F AClUTY SER\X'ES (:;691 Group rota I Grounctwater Contamination STORAGE T o\NK CQ~lrUM<CE 1~'51 SU'ER"CT SERVICE (;%) Group Total Community t,ygi""B RAD'OLlY-iICAL HEALTH ,:37') TO\IC S;~BST '\~CES (373) :.JrCTPA--:-IOl\AL :;EAL TH (::'4.:0 CO'SL'MER PRODLCr SNTTY 13~') ".IL'R!' P:'\E\'F'TION ('46) LL...D \10\'IIOKiNG ,S,3 \'ICES 13;0) PL'3L1C Sl:\\',\GE :3621 SOLI D W ;STE DISPOSAL (363) S,""T"R" NLISA'-'CS (3c-') RABIES SUR\'El',LAt\CE'CO'.'TRO!. 'En leES. :;(6) .~R8D\'IRUS ,LR\E:U,ANCT '.'6 II RODE\.'T.:\RT!-1ROPOD CCIN-:'"R()L l~f.8:' y". -'\ T::::J::: P(IL~L [101>..; .)7(J} AIR POLLLTIOlo,; (37L) Group Tut.1 E-"'IROJl,'\1L'iTAL HEALTH Sl'B 101',-\1. D, SPECIAL CO~TR"CTS: SPEcrAL COhTR-\CT$ L"t)9) SPECIAL CO'iTR.-\CTS snrrOT.-\ L TOTAL CO:'oTR\CT 26.52 October 1, 1008 to SC.l'tember 311. 1009 OUOlrtertv [:\D-rudirurr PI.II m'. (0(/6) Cljeats Is! 211d 3rd. 4th Agenda Item No, 10F October 28, 2008 Page 22 of 28 Grltnd County TOlal Un.IS SrnKes (Wbole dotlan: tint)") St"f 51 a'l9 1.113116 r O~ :9 63 J.~5: s~o ()o8 IA79 ',,~& 706, SO l o _~.OQq ::.S~9 ,) o o 1792 2,%" ~O,:90 26~1)'" "7 :H. '06 : 1".086 2S&,277 406,91) o o o ~( 1}06 ro ~~ 8el I e33 9-14 1 r.oO .:;_99~ ~) 8'" I - 9~~ !,OUQ 3,998 0 I~ 66g o Q o o o 0,06 C' ~C ((HJ o o crr1\1 ,I :4 ~6,b6Q 1,1 14 26.670 I L :-.)~';' I ~.567 [J CO (, :' l.l 14 26.M9 _'I,; H :c:.,670 : 15.567 0 I r 5.56-;' 2(Jj Q) "~::. i(1: 5";3 CJ7Q 3.9{}.'~.8~)a ;.-,(;S.63~ 3,~92"72 3,4f] /',592 S, ;';2,243 ,'.911.384 1~,G7:'.627 020 ~q:? 2.225 :".6~9 () C{, (l (IG v (0 {),OO (, v Co(l a.co ooe o G (to (0 (1.5:1 :56 QGO l'.(JU o o (l~ o O,7Y -l-IR 1:.571 ~.s;.~ I ~,955 ','.e 14 .~170S 444,) 17 .tO~:. J., 3 011,43 , Agenda Item No, 10F October 28, 2008 Page 23 of 28 ATTACHMENT III COLLIER COUNTY HEALTH DEPARTMENT CIVIL RIGHTS CERTIFJCATE The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants. loans, contracts (except contracts of insurance or guaranty). property, discounts, or other federal financial assistance to programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete the Civil Rights Compliance Questionnaire, OH Forms 946 A and B (or the subsequent replacement if adopted during the contract period), if so requested by the department. The applicant assures that it win comply with: 1, Title VI of the Civil Rights Act of 1964, as amended, 42 U,S,C.. 2000 Et seq., which prohibits discrimination on the basis of race, color or national origin in programs and activities receiving or benefiting from federal financial assistance. 2, Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S,C, 794, which prohibits discrimination on the basis of handicap in programs and activities receiving or benefiting from federal financial assistance, 3, Title rx of the Education Amendments of 1972, as amended, 20 U.S.C, 1681 et seq" which prohibits discrimination on the basis of sex in education programs and activities receiving or benefiting from federal financial assistance. 4. The Age Discrimination Act of 1975, as amended, 42 U,S.C. 6101 et seq" which prohibits discrimination on the basis of age in programs or activities receiving or benefiting from federal financial assistance. 5, The Omnibus Budget Reconciliation Act of 1981, P,L. 97-35, which prohibits discrimination on the basis of sex and religi-::m in programs a~d activities receiving or benefiting from federal financial assistance, 6, All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant agrees that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal financial assistance, and that it is binding upon the applicant. its successors, transferees, and assignees for the period during which such assistance is provided, The applicant further assures that all contracts, subcontractors, subgrantees or others with whom it arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in violation of the above statutes, regulations, guidelines, and standards, In the event of failure to comply, the applicant understands that the grantor may, at its discretion, seek a court order requiring compliance with the terms of this assurance Dr seek other appropriate judicial or administrative relief, to include assistance being terminated and further assistance be~ng denied 21 ,'"';Jenda Item r'~o, 10F October 28, 2008 Page 24 of 28 ATTACHMENT IV COLLIER COUNTY HEALTH DEPARTMENT FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT Facility Description Location Owned Bv Ccllier CouLt)' Health Department & ?utlic Services Bu~ldi~g H 3301 Eo ~amiami ~rail EuildiLg E, Naples Collier 20unty ~mmckalee Sate~lite 419 North First S:reet Coll:..er County I I71lTlC' k a_I e e Golden Gate WIC C~fice 4945 Golden Gate Parkway 5enderson Unit 102, ~aples Development ~\1IC C:=fice (:em~)o:)ra:--}r j~ri~g Renovations) 1217 Airport ~oad South Ro=hschild :';-aples In.....'est.LTier..ts :"'LC~ :~ Agenda Item NO.1 OF October 28, 2008 Page 25 of 28 ATTACHMENT V COLLIER COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN IDENTIFY THE AMOUNT OF CASH THAT IS ANTIC,PA TED TO BE SET ASIDE ANNUALLY FOR THE PROJECT COf\;TRACT YEAR STATE COUNTY 2006-2007 $ $ $ 2007-2008 $ $ $ 2008-2009 $ $ $ 2009-2010 $ $ $ 201D-2011 $ $ $ PROJECT TOTAL $ 257,298 $ 171,532 $ SPECJAL PROJECT CONSTRUCTION/RENOVATION PLAN TOTAL 428,830 Balance PROJECT NAME: LOCATION/ ADDRESS: PROJECT TYPE' Renovation of CHD Offices Building H of the Collier County Government Complex SQUARE FOOTAGE: NEW BUILDING RENOVATION X NEW ADDITION o ROOFING PLANNING STUDY OTHER PROJECT SUMMARY: Describe scope ofworf: in reasonable detail, Ttle Collier County Heaith Department will be m::Jving :ts Environmental Health Division from a satellite governmen1 complex to the main builc;ing (B'Jilding H) of the government complex localed on Tamiami Trail dJring 2005-2006 when the space becomes availab,e, Medical Records will be recarpeted and the main lobby will get a information Kiosk to be staffed by administration, Other operating programs will also be reconfigu'ea during the time frame 2005-20010 including: School Health, Disaster Preparedness, Family Health. Epidemiology. Vital Stats, Pharmacy, and clinic areas of ComlT'.unicable Disease, The Dental clinic will need to be expanded because of growth probaoly during the 2006-20010 time frame. Also it is anticit)ated that Information Systems, Finance & Accounting, Human Resources. a!'1d t'le Director's Office will be renovated in L~C7-201 0, ESTIMATED PROJECT I~;FORMAT!ON: ST ART DATE (mitlal expendir.Jre of fvnds) : COMPLETION DATE 1011/2005 12/31;2010 DESIGN FEES: CONSTRUCTION COSTS: FURt..JITURE/EQU IPMENT TOTAL PROJECT COST: $ $ $ $ 1,350,000 COST PER SO FOOT: $ #DIV/O! Special Capital Projects are new contruction or renol/ation projects and new furniture or equipment associated with these projects and mobile health vans, 23 L\oenda Item NO.1 OF ~ October 28, 2008 Page 26 of 28 ATTACHMENT V COLLIER COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN IDENTIFY THE AMOUNT OF CAS-i TH/\~ IS ,c.,NTICI::>ATED TO BE SE" ASID::: ANNUAL~ y rOq THE PROjECT, CONTRACT YEAR STATE COUNTY 2006-2007 $ $ $ 2007-2008 $ $ $ 2008-2009 $ $ $ 2009-20~ 0 $ $ $ 2010-20 1 ~ S $ :5 PROJECT TOTAL $ 2//,909 $ 185,273 <::: ... TOTAL 463,182 Balance SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN PROJECT NAME: LOCA TIONi ADDRESS: PROJECT TYPE WIC Renovation Bu'ldinq H of the Collier County Governmenl Complex NEW BUILDING RE NO\l,t>,TI ON X NEW ADDITION ROOFiNG PI ANNING STUDY OTHER SOU,A"qE FOOTAGE: 2300 PROJECT SUMMARY' Describe scope of work in reasonable detail. be Collier CHD Vl/tC operations are in critical need of additional space in 3ldg. H due to rapid growth in recent years, However, this grow~h cannot be accomodated within Bldg. H without extensive modifications to the currently occupied spaces, A long-term plan has been developed to aGcomodate future growth as wel; as alleviating the current lack of space. Given the la~ge scope and lengthy time-frame to completion this project wil be divided into :hree distinct phases, PHASE I wlli entail the relocation of all WIC operCltions in Bldg. H to anotner county-owned building or commerciaHy-own facility and all assOCiated moving costs (network setup, teiephones, furniture, etc,) along with the de'Tloiiilc-n of current VvlC spaces in 81,og, H, Phase i1 will commence in FY 08 and will involve the actual cor.st~uctiQn of "NIC spaces In B,og. H, PhClSC II! will start in FY 09 Gnd wi!1 involve relocating WIC oper8tions back to Blog. H, ESTIMATED PROJECT INFORMA110N: START DATE (initial exp"nOrture of fundS) : COMPLETION DATE: 1 Oi~ /2007 6/30'2010 JESIGN FE::S: CONSTRUCTiON COSTS: FURNITURE/EQUI;:>MENT TOTAL PROJECT COS~ $ $ S S 30,000 300.000 170,000 500,_000 CCST PE.R SO FOOT' s ~ 30.4347826 Special Capital Projects are new contruction or renovation projects and new furniture or equipment associated with these projects and mobile health vans, 24 Agenda Item NO.1 OF October 28, 2008 Page 27 of 28 ATTACHMENT VI COLLIER COUNTY HEALTH DEPARTMENT PRIMARY CARE ''Primary Care" as conceptualized for the county health departments and for the use of categorical Primary Care funds (revenue object code 015040) is defined as: "Health care services for the prevention or treatment of acute or chronic medical conditions or minor injuries of individuals which is provided in a clinic setting and may include family planning and maternity care," Indicate below the county health department programs that will be supported at least in part with categorical Primary Care funds this contract year: x Comprehensive Child Health (229/29) x Comprehensive Adult Health (237/37) Family Planning (223/23) x -- Materna I Healthll PO (225/25) Laboratory (242/42) x -- Pharmacy (241/93) Other Medical Treatment Program (please identity) Describe the target population to be served with categorical Primary Care funds, Maternal and Child Health Primary Care funding is u:ilized to support clinical services for Pregnant Women, Often these women are diagnosed diabetics and or hypertensive/preeclamptic and require intensive interaction to assure accu;ate blood sugar readings, accurate administration of insulin or routine and regular monitoring of edema and blood pressure, Funding is also utilized to support regular well child visits as well as educating "bout the importance of routine preventive services such as nutrition, exercise and nutrition, Comprehensive Adult Health and Pharmacy - The target populations to be served with thtlse funds are the pregnant women; clients exposed to or who have contracted reportable communicable diseases and emerging infections; persons needing treatment for HIViAIDS, Sexually Transmitted Diseases. and Tubtlrculosis; persons requiring prophylactic treatment for exposure to communicable diseases such as rabies; persons entering the country as refugees who require physical exams to ensure they do not have any communicable diseases and that they are fully vaccinated against vaccineprcventable dIseases; persons at risk for certain communicable diseases such as Hepatitis; low income persons with diabetes and epilepsy requiring assistance with mtldications and adults requiring vaccination against vaccine-preventable diseases, ')~ -) Po.oenda Item 1\10, 10F - October 28, 2008 Page 28 of 28 These funds provide the infrastructure to provide services to this population such as staff, medical records, fiscal support, medication acquisition, and necessary eq:Jiprnent and supplies when there arc no other funding sources, Does the health department intend to contract with other providers for the delivery of primary health care services using categorical (015040) Primary Care funds? Jf so, please identify the provider(s), describe the services to be delivered, and fist the anticipated contractual amount by provider. In addition, contract providers are required to provide data on patients served and the services provided so that the patients may be registered and the service data entered into H MS, 26