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Home My WebLink About20233132.tiffRESOLUTION RE: APPROVE MEMORANDUM OF UNDERSTANDING FOR HEPATITIS C VIRUS (HCV) CONFIRMATORY TESTING PROGRAM AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Memorandum of Understanding for the Hepatitis C Virus (HCV) Confirmatory Testing Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, commencing July 1, 2023, and ending June 30, 2024, with further terms and conditions being as stated in said memorandum of understanding, and WHEREAS, after review, the Board deems it advisable to approve said memorandum of understanding, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Memorandum of Understanding for the Hepatitis C Virus (HCV) Confirmatory Testing Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said memorandum of understanding. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of October, A.D., 2023, nunc pro tunc July 1, 2023. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ,^ J Weld County Clerk to the Board BY:( /t4 A1A) IT_1 Deputy Clerk to the Board APP' • .. D AS -a FORM: ounty At orney Date of signature: 1'4 2/1( 23 Mik Perry L. B ,• , Pro-Tem cc•. HL(sc/Ks) 06/23 2023-3132 HL0056 Con-lva c+ Mil 7500 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: CDPHE No -C Agreement for Hepatitis C Virus Confirmatory Testing Program DEPARTMENT: PUBLIC HEALTH AND ENVIORNMENT DATE: October 3, 2023 PERSON REQUESTING: Jason Chessher, Executive Director Shaun May, Clinical & Community Health Division Director Brief description of the problem/issue: For the Board's review and approval is a no -cost agreement between the Colorado Department of Public Health and Environment (CDPHE) and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE). WCDPHE seeks to enhance our outreach STI testing by offering Hepatitis 0 Virus (HCV) confirmatory testing to clients that receive a positive result from a rapid HCV test. HCV confirmatory testing is a necessary follow-up for most individuals living with HCV before they can be linked to appropriate medical care. Left untreated, HCV can be transmitted between individuals and can lead to significant health complications including organ damage, cancer, and death. Through a prior agreement with CDPHE, the WCDPHE offers rapid HCV antibody testing free of charge in our outreach clinics. This additional agreement will allow the WCDPHE to order from CDPHE no -cost HCV confirmatory testing for clients via Molecular Testing Labs (MTL), a commercial laboratory. After a positive rapid test result, staff will collect a dried blood spot specimen from the client, order the HCV confirmatory test through the MTL online portal, and mail the specimen to MTL. This prevents the need to schedule an office visit for confirmatory testing. The end of the term for this project is 6/30/2024. Activities will be conducted by current staff; no additional FTE is being requested. What options exist for the Board? With the approval of the Board, this will allow the WCDPHE to ensure necessary HCV confirmation testing for those testing positive via a HCV rapid test. This confirmatory testing is necessary to get the patient the care needed and provides for a higher -level of continuity of care and customer service. If the Board declines this agreement, the WCDPHE will not be able to offer follow-up HCV confirmatory testing. Patients will be referred to seek confirmatory testing from their primary care provider and/or community health center. 2023-3132 (0/23 HL-O0Q Recommendation: I recommend approval of this no -coat agreement with CDPHE for HCV confirmatory testing. Suocort Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck, Pro-Tem Mike Freeman, Chair Scott K. James Kevin D. Ross Lori Saine Val eril &O. COLORADO Office of STI/HNNiral Hepatitis Department of Public Health Er Environment Memorandum of Understanding No -Cost Agreement for HCV Confirmatory Testing Program Name of Partnering Entity: Weld County Department of Public Health and Environment Partner Entity Address: 1555 North 170 Avenue, Greeley, Colorado 80631 Contact Person Name, Title: Annette Odell, Public Health Nurse Practitioner Coordinator Contact Phone 970-400-2324 Contact Email aodell@weld.gov Project Description: This health project serves to increase access to Hepatitis C (HCV) confirmatory testing for individuals who have previously had a reactive HCV antibody test. HCV confirmatory testing is a necessary follow-up step for most individuals living with HCV before they can be linked to appropriate medical care. Left untreated, HCV can be transmitted between individuals and can lead to significant health complications including organ damage, cancer and death. Increasing access to HCV confirmatory testing is important in preventing health complications and interrupting disease transmission in communities. This project allows agencies that offer rapid HCV antibody testing, including Local Public Health Agencies (LPHAs) and Community -Based Organizations (CBOs), to order HCV confirmatory testing for clients via Molecular Testing Labs (MTL), a commercial laboratory. An Agency will collect a dried blood spot specimen from the client, order the HCV confirmatory test through the MTL online portal, and mail the specimen to MTL. MTL will provide supplies for testing as needed to an agency, perform laboratory testing on received specimens and provide test results to the Agency via the online portal. The Agency will be responsible for giving results to the client and providing linkage -to -care referrals as necessary. CDPHE will cover the cost of laboratory fees as funding allows. CDPHE will suspend the program and inform participating agencies, if funds are exhausted. Project Term: 7/1/2023-6/30/2024 Agreement: Under the terms of this agreement, CDPHE will provide the ability to order no -cost HCV confirmatory testing utilizing dried blood spot specimen collection to participating agencies. I. Process and Protocol: This protocol is intended to explain the process for agencies to onboard into the CDPHE HCV Confirmatory Testing Program. Funding is supported by State Opioid Response, HCV State General Funds and other funding sources as secured by the Office of STI/HIV/Viral Hepatitis Syndemic Program. Agencies intending to utilize the CDPHE HCV Confirmatory Testing Program must complete the following steps: 1. Identify a healthcare provider who is qualified to order and approve laboratory testing for clients and who agrees to sign off on HCV RNA test orders on behalf of the Agency. 2. Submit the following information to CDPHE: a . Signed MOU b . Completed Authorized Portal Access Registration Form located at the following link: https://drive.google.com/file/d/l gQbBOFXr5zg4nHBabh1G5OBckRdw8pH 1/view?usp=sharing c . Completed Provider Registration Form located at the following link: https://drive.google.com/file/d/l BNHt8NnVFdYVTXE7lEo4gi4eXWlj7cVm/view?usp=sharing 02.002.- 30-2- ® COLORADO Alto Office of STI/FIIVNira! Hepatitis Department of Public Health b Envrtonment 3. Schedule and attend a training with MTL representatives on using the MTL portal to order tests and review results. Contact Baba Touray at MTL(btouray@moleculartestinglabs.com) to arrange this training. II. Expectations, Standards and Requirements: 1) The Agency shall perform HCV screening in accordance with current CDC guidelines available on the following website: https://www.cdc.gov/hepatitis/hcv/guidelinesc.htm 2) The Agency shall comply with the data collection and reporting requirements stated in the Guidelines Regarding Data Collection and Reporting. This document can be accessed at https://www.colorado.gov/pacific/cdphe/sti-hiv-funded-partner-policies and is incorporated and made part of this agreement by reference. 3) The Agency shall comply with the guidelines concerning data security and confidentiality stated in the Centers for Disease Control's Data Security and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted Disease and Tuberculosis Programs. This document can be accessed at http://www.cdc.gov/nchhstp/programintegration/docs/PCSIDataSecurityGuidelines.pdf and is incorporated and made part of this agreement by reference. 4) The Agency shall comply with the following Standards of Prevention for HIV/STI/VH and Harm Reduction Services. These Standards are incorporated and made part of this agreement by reference: https://drive.google.com/file/d/ 1 gASKKpergZ-0-PatSydh WjnYCmAjwJb-/view. . 5) The Agency shall comply with state law regarding the reporting of HCV confirmatory assay results. Reporting guidelines can be accessed at https://drive.google.com/file/d/16H86FrKGjoK3nDaYBpfgbR9YrcFNs9Gq/view and are incorporated and made part of this agreement by reference. 6) The Agency shall follow Universal Blood and Body Fluid Precautions as recommended by the CDC. These recommendations are incorporated and made part of agreement by reference: https://www.cdc.gov/mmwr/preview/mmwrhtm1/00000039.htm. 7) The Agency shall follow instructions from MTL for ordering tests and handling specimens. 8) The Agency that orders testing supplies through MTL shall perform the test directly. No testing supplies provided by MTL will be distributed to outside agencies or clients for use. 9) The Agency shall solely use testing supplies provided by MTL for collecting specimens that will be delivered to MTL. 10) The Agency shall be responsible for delivering test results to all clients for whom the Agency orders testing. 11) The Agency shall combine mailing multiple specimens in a single return mailer when possible and avoid mailing each specimen separately when possible. 12) The Agency shall provide written confirmation to CDPHE of receipt of supplies ordered from MTL within 5 business days of receipt. 13) The Agency shall utilize their own supplies to collect the specimen for HCV confirmatory testing when supplies are not provided by MTL. Necessary supplies which the Agency can order from MTL, at no cost, include: dried blood spot collection cards, alcohol pads, sterile gauze pads, sterile lancets, adhesive bandages, biohazard bags with desiccant silica gel pack, and pre -paid mailing envelopes. Necessary supplies which MTL does not provide include but are not limited to: medical exam gloves. 14) The Agency shall have all clients receiving testing through the HCV Confirmatory Testing Program sign a form indicating they consent to receive HCV confirmatory testing. IV. Contingency of change or loss of funding: The partnering Entity/Agency acknowledges that utilization of the HCV Confirmatory Testing Project is dependent on available funding and there is no guarantee of ongoing availability. In the event that any of these sources of funding are reduced or eliminated or expended prior to the end of the term, CDPHE has the right to reduce, suspend or eliminate financial support for this project. CDPHE shall endeavor to give the partnering entity/agency as much prior notice as is possible of any such situation. Partnering Agency Approvals Mike Freeman, Chair, Board of Weld County Commissionersp— Appointed Authority Name and Title Organization Jason Chessher, Executive Director/Shaun May, Clinical & Community Health Division Direct Primacy Contact Name and Title Contract Form Entity Information Entity Name * COLORADO DEPT OF PUBLIC HEALTH/ENVIRONMENT Entity ID* @00001926 Contract Name* CDPHE FY23-24 AGREEMENT HEPATITIS C VIRUS CONFIRMATORY TESTING PROGRAM Contract Status CTB REVIEW ❑ New Entity? Contract ID 7500 Contract Lead * AGOMEZ Contract Lead Email agomez@weldgov.com;tg eiser@weld.gov;Health- Contracts@weld.gov Contract Description * CDPHE NO -COST AGREEMENT WITH WCDPHE STI TESTING FOR HEPATITIS C VIRUS Contract Description 2 Contract Type" Department AGREEMENT HEALTH Amount* $ 0.00 Renewable" NO Automatic Renewal NO Grant IGA Department Email CM-Health@weldgov.com Department Head Email CM-Health- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL DGOV.COM If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Parent Contract ID Requires Board Approval YES Department Project # Requested BOCC Agenda Due Date Date* 10/07/2023 10/11/2023 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date 07/01/2023 Review Date" 05/01/2024 Termination Notice Period Committed Delivery Date Contact Information Contact Info Renewal Date Expiration Date* 06/30/2024 Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head JASON CHESSHER DH Approved Date 10/16/2023 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 10/23/2023 Finance Approver CHERYL PATTELLI Legal Counsel BRUCE BARKER Finance Approved Date Legal Counsel Approved Date 10/16/2023 10/16/2023 Tyler Ref # AG 102323 Originator AGOMEZ Hello