HomeMy WebLinkAboutResolutions - 1989.11.30 - 17097RFSOLUI
Daniel T. Murphy, Cu
November 30, 1989
MISCELLANEOUS RESOLUTION 89299
BY FINANCE COMMITTEE, DR. G. WITLIAM CADDETL, CHAIRPERSON
IN RE: INSTITUTIONAL AND HUMAN SERVICES/HEALTH DIVISION - 1989/90
AIDS COUNSELING AND TESTING GRANT ACCEPTANCE
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentleman:
WHEREAS pursuant to Miscellaneous Resolution #89105, the Health
Division applied to the Michigan Department of Public Health (MDPH) for
$211,978 in AIDS Counseling and Testing funds to cover the period October
1, 1989 through September 30,1990; and
WHEREAS the MDPH has awarded a 1989/90 AIDS Counseling and Testing
Grant in the amount of $211,978, the same as the application; and
WHEREAS this program is 100% State funded, no additional County
resources are required; and
WHEREAS acceptance of this grant does not obligate the County to any
future commitment; and
WHEREAS the Office of Corporation Counsel has reviewed the grant
agreement and has approved it as to legal sufficiency.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners accepts the 1989/90 AIDS Counseling and Testing Grant in the
alriount of $211,978 and authorizes the necessary amendments be made to the
1989 Budget, as detailed on the attached schedule.
BE IT FURTHER RESOLVED that the Chairperson of the Board is authorized
to execute said grant agreement and to approve minor changes and grant
extensions, not to exceed fifteen (15) percent variance from the original
agreement.
Mr. Chairperson, on behalf of the Finance Committee, I move the
adoption of the foregoing resolution.
FINANCE COMMITTEE
fc7/1-P1(99
REVENUE
MPH REIMB.
OAKLAND COUNTY HEALTH DEPARTMENT
AIDS COUNSELING AND TESTING PROGRAM
1989/90 APPLICATION VS. AWARD & 1989 BUDGET AMENDMENT
LINE ITEM 29/90 89/90 VARIANCE CURRENT BUDGET
APPLICATION AWARD (AWD-APP) BUDGET AMENDMENT
EXPENSES
SALARIES (1) $122,531 $122,531 $0 $151,251 $(28,720)
FRINGE BENEFITS 44,153 44,153 0 46,063 (1,910)
SUB-TOTAL PERSONNEL $166,684 $166,684. $0 $197,314 $(30,630)
ADVERTISING $2,000 $2,000 $0 $2,000 $0
, INDIRECT COST 12,394 12,394 0 12,736 (342)
PERSONAL MILEAGE 2,500 2,500 0 0 2,500
TRAVEL AND CON. 7,530 7,500 0 6,500 1,000
.- EDUCATIONAL SUPPLIES 2,000 2,000 0 6,416 (4,416)
MEDICAL SUPPLIES 3,399 3,399 0 3,300 99
OFFICE SUPPLIES 2,000 2,000 0 2,200 (200)
.. POSTAGE 500 500 0 500 0
CAPITAL OUTLAY 0 0 0 1,269 (1,269)
BUILDING SPACE COST 2,361 2,361 0 2,109 252
EQUIPMENT RENTAL 400 400 0 400 0
'.. • CONVENIENCE COPIER 600 600 0 350 250
INSURANCE 1,740 1,740 0 1,951 (210
PRINT SHOP 3,900 3,900 0 2,900 1,000
TELEPHONE COMMUN. 4,000 4,000 0 2,030 2,000
SUB-TOTAL OPERATING $45,294 $45,294 $0 $44,631 $663
TOTAL EXPENSES $211,978 $211,978 $0 $241,945 $(29,967)
$211,978 $211,978 $0 $241,945 $(29,467)
NOTES:
(1)1NCLUDES FUNDING FOR (I) FULL TIME PROGRAM COORDINATOR, (1)
FULL TIME P.M. NURSE III, (1) FULL TIME P.H. NURSE II, (I) .95 TIME
P.H. NURSE II, (1) FULL TIME CLERK II, AND (1) TYPIST I. A
SECOND TYPIST POSITION WAS TRANSFERED TO GOVERNMENTAL FUNDING
PER M.R.O 29205.
PREPARED BY:
BUDGET DIVISION-TS
NOVEMBER 1989
STATE OF MICHIGAN PECT OCT 6 1989
JAMES J. BLANCHARD, Governor
DEPARTMENT OF PUBLIC HEALTH
3423 N. LOGAN
P.O. BOX 30195, LANSING, MICHIGAN 48909
Raj M Wiener, Director
October 2, 1989
Thomas 1. Gordon, Ph.D.
Health Officer
Oakland County Health Division
1200 N. Telegraph Road
Pontiac, MI 48053
Dear Dr. Gordon
I have reviewed and approved your program plan for the 1989-90 AIDS
and Testing funding. Enclosed are three copies of the agreement for your
appropriate signature (original on each). We are also requesting three
attached three page budget forms, each also with an original signature, to
with this package.
Counseling
review and
sets of the
be included
possible for Please forward this agreement and budget package to me as soon as
processing. Thank you.
Sincerely,
Randall S. Pope, Chief
Special Office on AIDS Prevention
RSP/ss
enclosures
Z-25 4/88
0 R G fq A
o T R A- c. • 7- ,s
... PRINTED ON
SECYC4ED PAPER 41N-
Agreement Between
MICHIGAN DEPARTMENT OF PUBLIC HEALTH
hereinafter referred to as the "Department"
and
Oakland County Health Division
Federal ID #38-6004876
hereinafter referred to as the "Agency"
for
AIDS COUNSELING AND TESTING
Purpose
Agreement provides funding for comprehensive AIDS prevention and control services
including counseling and testing and partner notification for high risk individuals. It is
required within health department's jurisdiction* that both anonymous counseling and
testing services and routine risk assessment followed by voluntary counseling and
testing of individuals (directly or through referral) determined to be at risk** attending
family planning, STD, prenatal, substance abuse and TB clinics be provided. After
these required services are in place, funding also may be used for community
coalitions; education of the general public, at risk individuals and groups, and health
care providers; and establishing a continuum of care systems.
Agreement Amount
The Department under the terms of this agreement will provide total funding not to
exceed $211,978. This amount must be supported by a completed and signed Program
Budget Summary and supporting detail schedules hereby made part of this agreement.
A deviation allowance increasing an established budget category by $300 or 15%
whichever is greater is permissible without prior written approval of the Department.
Any modifications or deviations in excess of this provision including any adjustment to
the total amount of this agreement must be made in writing and executed by all
parties to this agreement before the modifications can be implemented. This deviation
allowance does not authorize new categories, equipment items or positions not shown
in the attached Program Budget Summary and supporting detail schedules.
This agreement is conditionally approved subject to the availability of funds.
* For puposes of these minimum program requirements, local health department
"jurisdiction" is defined as the geographic boundaries of a city, county, district
or associated local health department.
** According to CDC Program Guidelines, 1987.
1
Responsibilities - Agency
The Agency in accordance with the general purposes and objectives of this
agreement will.:
A. Assure administrative support and provide the necessary professional and
technical staff for operation of the program.
B. Maintain adequate program and fiscal records and files including source
documentation to support program activities and all expenditures made
under the terms of this agreement, as requested. Utilize standard
reporting forms prescribed by the Department.
C. 'Provide access to authorized representatives of the Department, Federal
Grantor Agency, Comptroller General of the United States, or any of their
duly authorized representatives to all records, fees, and documentation
related to this agreement.
The items in D - T below apply to both anonymous and confidential clinic
settings.
D. Initiation of a counseling and testing program must be preceded by
assuring a community-based system which will accept referrals of
seropositive individuals for psychological support and medical evaluation
and follow-up.
E. Provide a pre-counseling risk assessment system which assures individuals
who are to be counseled and tested for HIV are at risk for infection.
Sexually Transmitted Disease clients are, by definition, at risk and all
are eligible for AIDS Counseling and Testing.
F. Assure that all individuals providing pre- and post-test counseling have
been certified as completing MDPH Counselor Training Course.
G. Serve persons in need of counseling and testing services who are at risk
regardless of county of residence.
H. Assure for those who request anonymity an anonymous counseling and testing
service within the health department's jurisdiction* which provides
face-to-face pre- and post-test counseling.
I. Provide routine risk assessment for HIV infection for clients attending
STD, TB, substance abuse, family planning, prenatal and other appropriate
clinic settings. For those at risk, provide voluntary counseling and
testing either in clinic or through referral, maintaining client's
confidentiality or anonymity.
* For purposes of these minimum program requirements, local health department
"jurisdiction" is defined as the geographic-boundaries of a city, county,
district or associated local health department.
2
J. Provide face-to-face pre-test counseling sessions which include:
1. Review and explanation of the system by which confidentiality or
anonymity is assured, appointments are scheduled and general clinic
procedures.
2. Individual risk assessment.
3. Health education, risk reduction, and behavior modification
information specific to the individual's risk.
4. Information on partner notification, its importance, and options
available for partner notification and referral.
5. Explanation of the meaning of negative and positive test result.
6. Risk and benefit information about the HIV antibody test.
7. Obtain written informed consent prior to testing.
8. Condoms for each client, as appropriate, and information on their
proper use.
K. Arrange for or provide HIV antibody testing by submitting specimen (sera
only and not whole blood) to the State Public Health Laboratory or a
laboratory licensed by MDPH.
L. Provide face-to-face post-test counseling within the limits of its
resources to seronegative persons which includes:
1. Discussion of implication and interpretation of test results.
2. Discussion of individual specific risk reduction behaviors necessary
to remain seronegative.
3. Condoms, as appropriate, and information on their proper use.
M. Provide face-to-face post-test counseling to seropositive persons, i.e.,
HIV antibody identified by both a repeatedly reactive ELISA and a positive
confirmatory test (usually Western Blot) which includes:
1. Discussion of implication and interpretation of test results.
2. Review of individual specific behavior modification necessary to
eliminate future transmission of HIV.
3. Discussion of client referral of sexual/needle sharing partners and/or
an offer to assist in partner referral.
3
4. If assistance in partner notification and referral is requested,
arrange for this service (if non-local health department) or obtain
information sufficient to locate sexual or needle sharing partners.
5. Discussion on need to be referred for further medical evaluation and
the confidentiality of public health and medical records.
6. Arrangement for or provision of tuberculosis skin testing.
7. Referral for medical evaluation.
8. Discussion on coping with psychological and sociological implications
of positive test results, to assure continuous reinforcement of
behavior modification, including referral to support services within
the community.
9. Provision of condoms, appropriate information on their proper use, and
family planning counseling as indicated.
N. Offer to provide partner notification services to all seropositive clients
requesting assistance according to MDPH policy and recommended guidelines.
O. Identify by name, the local health department designee(s) who will carry
out partner notification and assure designee(s) have completed MDPH
partner notification training program.
P. Activities carried out within the STD clinics shall be under the
management and supervision of the state STD program structure.
Q. Provide counseling and testing services at sites and hours (including P.M.
if indicated) when a majority of those in need can take advantage of such
services.
R. Publicize and conduct outreach, particularly for minority populations at
risk, on the availability of counseling and testing services.
S. Monitor, in cooperation with the Special Office on AIDS Prevention, the
quality of the program to assure that minimum program requirements are
being met and that persons are receiving appropriate counseling and
testing services.
T. Submit by the 10th working day of each month prescribed optical scan
report forms for each client and partner notification by confidential
and/or anonymous clinic site. Any other data required by the Department
(e.g., special survey information) will be subject to agency approval
through negotiation.
U. As resources permit, establish community-wide coalitions to organize and
coordinate human service organizations; provide education of the general
public, at risk individuals and groups, and health care providers; and
facilitate continuum of care system.
V. Submit as scheduled by the Department a plan and budget which describes
implementation plan for required activity describing how minimum program
requirements above are to be met.
4
W. Submit examples of all proposed subcontracts to the department as part of the
original plan and budget, for authorization under the master agreement. Signed
copies of subcontracts must be submitted within 30 days of execution and will
become attachments to this master agreement. The Agency furthermore shall:
1. Require the contractor to comply with all applicable terms and conditions
of this master agreement. In the event of a conflict between this master
agreement and provisions of a subcontract, the provisions of this master
agreement shall prevail.
2. Assume all responsibility for any work performed under a subcontract
including appropriate compliance with all terms and conditions of the
master agreement.
3. Assure that any billing or request for reimbursement for subcontract
costs is supported by a valid subcontract and adequate source
documentation on costs and services.
X. Assure that all tei ins of the agreement will be appropriately adhered to and that
records and detailed documentation for the project or program identified in this
agreement will be maintained for a period of not less than three (3) years from
the date of termination, the date of submission of the final expenditure report or
until audit findings have been resolved.
Y. Assure that all applicable federal and state laws, guidelines, rules and
regulations will be complied with in carrying out the terms of this agreement
including submission of a copy of any audit report related in whole or part to
this program.
Z. Assure that all purchase transactions, whether negotiated or advertised, shall be
conducted openly and competitively in accord with the principles and
requirements of OMB Circular A-102 or A-110 as applicable and that records
sufficient to document the significant history of all purchases are maintained for
a minimum of three years after the end of the agreement period.
AA. Inform the Department of any employee assigned to this program who has
retired from State of Michigan employment under Acts 2 and 3 of P.A. 1984
(Early Retirement Program). A monthly report shall be required on the first of
each month reporting the names of State early retirants who performed work in
the previous month on the program(s) covered under this agreement.
Such reports are not required for any State early retirant who reached the age of
62 years.
Responsibilities - Department
The Department in accordance with the general purposes and objectives of this
agreement will:
A. Provide payment in accordance with this agreement in an amount not to exceed
$211,978 based upon appropriate reports, records, and documentation maintained
by the Agency.
5
B. Provide any special report forms and reporting formats required by the
Department for the operation of the program.
C. Provide to the Agency all applicable federal and state laws, guidelines,
rules, and regulations.
Assurances
In compliance with:
Title VI of the Civil Rights Act of 1964 and the Regulations of the U.S.
Department of Health and Human Services issued thereunder, and Section
504 of the Rehabilitation Act of 1973, the Michigan Handicappers' Civil
Rights Act (1976 PA 220), the Elliott-Larson Civil Rights Act (1976 PA
453) and the Rules of the Michigan Civil Rights Commission which have
been promulgated and adopted pursuant to the requirements of the
Administrative Procedure Act (1969 PA 306) as amended:
The Agency assures that, in carrying out this program, no person
shall be excluded from participation, denied any benefits, or
subjected to discrimination on the basis of race, creed, age,
color, national origin, or ancestry, religion, sex, or marital
status (except where a bonafied occupational qualification exists).
This policy of nondiscrimination shall also apply to otherwise
qualified handicapped individuals.
Payment and Reporting Procedures
Financial Status Reports (FIN-130) shall be prepared and submitted to the
Michigan Department of Public Health, Grant and Contract Management, on a
monthly basis, not later than (30) days after the close of each calendar
month. The monthly Financial Status Reports shall be used by the Department
to reimburse the Agency for all costs incurred in the operation of the program
under the terms of the agreement.
An operating advance may be provided by the Department to the Agency to assist
in initiating the program. The monthly Financial Status Report will be
utilized to replenish the operating funds on a regular recurring basis.
Any unobligated balance of funds on hand in the Agency at the end of the
agreement period will be returned to the Department or treated in accordance
with instruction provided by the Department.
Agreement Period
The Department will assume responsibility or liability for costs incurred by
the Agency prior to the signing of the agreement as allowed by the
continuation letter(s) forwarded from the Department to the Agency.
This agreement is in full force and effect from October 1, 1989 through
September 30, 1990. This agreement may be terminated by either party by
giving sixty (60) days written notice to the other party stating the reasons
for termination and effective date or, upon the failure of either party to
carry out the terms of the agreement, by giving ten (10) days written notice
to the other party stating the cause and effective date.
Signature Title Date
Raj M Wiener Title Date
The Department may also terminate this agreement upon 15 days notice if the name of
the Agency, or the name of the subcontractor, manufacturer, or supplier of the Agency
subsequently appears in the register compiled by the Michigan Department of Labor
pursuant to Section 2 of Act 278 PA 1980. The act prohibits the state from entering
into contract with certain employers who engage in unfair labor practices; to prohibit
those employers from entering into certain contracts with others; to provide for the
compilation and distribution of a register of those employers and to provide for the
voiding of certain contracts.
Upon any such termination, any funds not authorized for use shall be returned to the
Department.
Amendments
Any changes to this agreement will be valid only if made in writing and accepted by
all parties to this agreement.
Special Certification
The individual or officer signing this agreement certifies by his or her signature that he
or she is authorized to sign this agreement on behalf of the responsible governing
board, official or Agency.
Signature Section
FOR THE AGENCY:
FOR THE DEPARTMENT:
State Health Director
RECOMMENDED BY
Chief
Jean Chabut Title Date
Center for Health Promotion
7
PROGRAM BUDGET SUMMARY Page __L_ of 3 P...<9PH
Konliacl No 4R,Io
iP,'Dgram 'rade Budget Pertod Orlie Prepared
AIDS COUNSELING & TESTING PROGRAM 10/1/89 9/30/90 8/31/89 To
aaD,,,,,,, ___
Oakland County Health Division Original 1 x 1 Amende Amendment
iTh4dget Budget Number
1,..cTiS5 Cy -s6le ZIP Code
1200 N. Telegraph Rd. Pontiac Michigan 48053-1320 1,-P;p2"73r qidfcacie:g"W
AGREEMENT BUDGET L LOCAL BUb6E-i-
,
CATEGORY TOTAL CURRENT YEAR SUBSEQUENT CURRENT SUBSEQUENT
BUDGET PORTION YEAR PORTION YEAR 19 YEAR 19 _
1 Salaries & Wages 122,531
2 Fringe Benefits 44 ,153
3 Travel
10,000
4 Supplies & Materials 7,399
5 Contractual (Sub-Contracts) _
r
6 Equipment
Other Communications 4,000
7 Expenses: Equipment Rental 400
PoIage----
Office Space Rental 2,361
Convenience Copier 600
Printing 3,900
Advertisement 2,000
• Liability Insurance 1,740
8 TOTAL DIRECT 99,584
@8.9% for '89 . 9 Indirect Costs @10.5% for '90 12,394
Other Cost 10 : Distributions
11 TOTAL EXPENDITURES 211,978
12 Less: Fees & Collections
13 FUNDS REQUIRED 211,978
SOURCE OF FUNDS
14 State Agreement 100 % 211,978
15 Local %
16 Federal
17 Other
8 TOTAL FUNDING 211,978
CERTIFICATION: I certify that I am authorized to sign on behalf of the local agency. This budget represents cost necessary for the
administration and operation of the program. Adequate documentation and records will be maintained to support all required program
expenditures.
NAME: Al', - TITLE: - . DATE:
Completion is a Condition of FLnding. ALethority:' P.A.368 at 1478
ISDPF1
PN-F14
1..Z./E4 Pew.
PROGRAM BUDGET - POSITION SCHEDULE Page 2 of
—Program Cade Budget Period Date Prepared
AIDS COUNSELING & TESTING PROGRAM'10/1/89 m 9/30/90 8/31/89
ocai Agency
Oakland County Health Divisio n = [X1 FB=ted F-1=eni n
POSITIONS ANNUAL TOTAL POSITION DESCRIPTION COMMENTS REQUIRED SALARY SALARY
Public Health Frog. Coord. 1.00 39,194 39,194 Budgeted full-time
PreviouiIV auth-b-Fzed DIOS f.
Public Health Nurse III 1.00 32,615 -0- mangeted due o lack
Public Health Nurse II 1.00 29,816 29,816 Budgeted full-time
Public Health Nurse II 1.00 24,111 24,111 Several PINE persons
Clerk II 1.00 13,842 13,842 Budgeted full-time
Typist II 1.00 15,568 15,-568 Budgeted full-time
,.. .
-nwuupppppw-..
TOTAL 1 7.00 122,531
Comotetion is a Condition ot Funding MI-Montle P.A.368 of 157b
PROGRAM BUDGET - COST DETAIL SCHEDULE MOMI
tn..' 1
1 tele
Page
IF rog-arn Code Budget Period Date PTepared
AIDS COUNSELING & TESTING PROGRAM 10/1/89709/30/90 8/31/89
LOCAL AGENCY - Original Amended n Amendment
Oakland County Health Division Budget Budget Number
SUB - CATEGORY / ' ITEM i DESCRIPTION QUANTITY TOTAL CATEGORY
TOTAL
FRINGE BENEFITS
Worker's Compensation 1,844
Hospitalization Insurance 10,804
Life Insurance 290
Retirement Fund 18,601
Social Security 9,373
Salary Continuation Insurance 1,694
Unemployment Insurance 139
Dental Insurance 1,226
Optical Insurance 182
TOTAL FRINGE BENEFITS 44,153
TRAVEL
Personal Mileage - 10,000 miles @.25/mi 2,500
Travel & Conference for AIDS Training 7,500
TOTAL TRAVEL 10,000
SUPPLIES & MATERIALS
Education Supplies 2,000
Medical Supplies 3,399
Office Supplies 2,000
TOTAL SUPPLIES & MATERIALS 7,399
OTHER EXPENSES
Communications 4,000
Equipment Rental 400
Postage 500
Office Space Rental:
1989 - 208.3 Sq. Ft @ $10.57/Sq. Ft. (For 3 Mos.) 550
1990 - 208.3 Sq. Ft @ $11.59/Sq. Ft. (For 9 Mos.) 1,811
2,361
Convenience Copier 600
Printing 3,900
Advertisement 2,000
Liability Insurance 1,740
INDIRECT COSTS
1989 - Indirect Costs of 8.9% on Salary of $29,534 2,629
1990 - Indirect Costs of 10.5% on Salary of $92,927 9,765
TOTAL INDIRECT COSTS 12,394
•
Completion is a Condition ot Funding. Authorfly: Pik 364 of 197
misc. Resolution # 89299 November 30, 1989
15r/[1W:-AT_rr1'i: County —Clerk/Register of I
. Moved by Caddell supported by Pappageorge the resolution be adopted.
AYES: McPherson, Moffitt, Oaks, Olsen, Pappageorge, Pernick, Rewold,
Skarritt, Wolf, Aaron, Bishop, Caddell, Calandra, Chester, Crake, Ferrens,
Gosling, Hobart, Jensen, Johnson, R. Kuhn S. Kuhn, Luxon, McConnell, McCulloch.
(25)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution was
adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lynn D. Allen, Clerk of the County of Oakland and having a seal,
do hereby certify that I have compared the annexed copy of the attached
miscellaneous resolution adopted by the Oakland County Board of Commissioners
at their meeting held on November 30, 1989
with the original record thereof now remaining in my office, and
that it is a true and correct transcript therefrom, and of the
whole thereof.
In Testi .m)ny Whereof, I have hereunto set my hand and affixed the
seal of said County at Pontiac, Michigan
this 30th 'day of November 1589