To: Board of Supervisors of Sonoma County
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Robert Gonzalez, 565-4416
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
First 5 Agreement for Department of Health Services Nurse-Family Partnership Program
End
Recommended Action:
Recommended action
Authorize the Director of Health Services to execute a revenue agreement with First 5 Sonoma County to accept revenue that will provide funding for the Department of Health Services Nurse-Family Partnership program in the amount of $1,200,000 for the period July 1, 2019 through June 30, 2021.
end
Executive Summary:
Nurse-Family Partnership is an intensive evidence-based community health program designed to help transform the lives of vulnerable mothers, pregnant with their first child, through support from a home visiting nurse. It is a nationally known program that is listed on the Upstream Portfolio as a Tier 1 Evidenced Based program. First 5 Sonoma County has been providing funding for the Department’s Nurse-Family Partnership program since implemented in 2010. This item requests approval of an agreement with First 5 Sonoma County for the County to receive revenue in the amount of $1,200,000 through June 30, 2021.
Discussion:
Nurse-Family Partnership is an intensive evidence-based community health program designed to help transform the lives of vulnerable mothers, pregnant with their first child, through support from a home visiting nurse. It is a nationally known program that is listed on the Upstream Portfolio as a Tier 1 Evidenced Based program. The Nurse-Family Partnership program was implemented locally in 2010.
Through the proposed agreement with First 5 Sonoma County, the Department of Health Services will receive annual funding of $600,000 that will support the Department’s Nurse-Family Partnership program. This First 5 funding provides approximately 44.4 percent of the total annual Nurse-Family Partnership program budget of $1,352,788.
Through fiscal year 2018-2019, First 5 was administratively located within the Department of Health Services and provided funding for the Nurse-Family Partnership program via a memorandum of understanding not requiring Board approval. On July 1, 2019, First 5 Sonoma County became a legal public entity separate from the County of Sonoma. As such, agreements between First 5 Sonoma County and the County of Sonoma require Board approval. This item requests approval of an agreement with First 5 Sonoma County for the County to receive revenue in the amount of $1,200,000 through June 30, 2021.
Strategic Plan Alignment: Nurse-Family Partnership is an evidence-based community health program providing long-term family improvements in health, education, and economic self-sufficiency. This program supports the Health Services Strategic Plan goal that individuals, families, and communities access high quality and coordinated services for health, recovery, well-being, and self-sufficiency and supports the County’s strategic plan by supporting overall health beginning with the healthy development of children.
Prior Board Actions:
On June 11, 2019 the Board adopted an ordinance (Ordinance Number 6257) amending Ordinance Number 5142 (establishing the Sonoma County Children and Families First Commission) as amended by Ordinance Numbers 5236, 5807, and 5881, to establish First 5 Sonoma County Commission as an independent public agency and establish Commission membership, terms, powers, and duties.
Fiscal Summary
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Expenditures |
FY 19-20 Adopted |
FY 20-21 Projected |
FY 21-22 Projected |
|
Budgeted Expenses |
600,000 |
600,000 |
0 |
|
Additional Appropriation Requested |
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|
|
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Total Expenditures |
600,000 |
600,000 |
0 |
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Funding Sources |
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General Fund/WA GF |
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State/Federal |
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Fees/Other |
600,000 |
600,000 |
0 |
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Use of Fund Balance |
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Contingencies |
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|
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Total Sources |
600,000 |
600,000 |
0 |
Narrative Explanation of Fiscal Impacts:
Revenue of $600,000 from the agreement with First 5 and associated expenditures for the Nurse Family Partnership program are included in the FY 19-20 budget. Revenue and expenditures for FY 20-21 will be included in the FY 20-21 budget. First 5’s funding source for the proposed agreement is Proposition 10 funding.
The First 5 Sonoma County Commission agreed to provide funding for the Nurse Family Partnership program prior to leaving the County in July 2019, and the funding was included in the Department’s FY 19-20 budget. Given First 5’s new independent status, development of an agreement and subsequent negotiation of the terms and conditions took several months.
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Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A-I Step) |
Additions (Number) |
Deletions (Number) |
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Narrative Explanation of Staffing Impacts (If Required):
None
Attachments:
Agreement with First 5 Sonoma County
Related Items “On File” with the Clerk of the Board:
None