Explanation
This ordinance authorizes Columbus Public Health to enter into a demonstration grant agreement with PrimaryOne Health for the provision of equipment to be utilized for medical, dental, and maternal health services within the city’s neighborhood health centers. This will be a demonstration grant examining the impact of socioeconomic disparity on health outcomes.
This demonstration grant is focused on two of PrimaryOne Health’s clinical sites: 1905 East 17th Avenue located in the St. Stephen’s Community House building and the Recuperative Care Center at the Homeless Shelter at 595 Van Buren Drive. The St. Stephens site, located in the Linden community, is positioned in one of the 8 communities targeted by the City of Columbus’ Infant Mortality Task Force and CelebrateOne.
The demonstration will compare concentrated efforts to assist patients, more specifically pregnant women, in addressing housing and other social determinants. PrimaryOne Health is at an advantage in achieving these health improvement goals due to our care management and support process currently in place, which helps to identify patients with socioeconomic conditions or disparities that impact the effectiveness of managing care, as identified during pre-visit planning and/or referrals from nutrition, pharmacy, or behavioral health. Therefore, the following services should be added and/or enhanced at these two specific sites identified above:
● OB/GYN and Women’s Health (Focus on prenatal and postpartum care)
● Behavioral Health (Social Determinant Assessment Tool; Community Outreach)
● Van Transportation
● Legal Clinic (Aid with housing, transportation, and other legal services)
● Telehealth
● Vision
● Dental
PrimaryOne Health will evaluate performance by using a combination of quality improvement and operational indicators, specifically related to Patient-Centered Access and Population Health. The rates at the St. Stephens site, which will demonstrate the new services, will be compared to the rates at the remaining ten clinic sites. Those measures will be compared over time to track improvement, while serving as clinical and efficiency measures to show that these efforts have improved health outcomes and quality of care.
Fiscal Impact: Funding is available within the Special Income Tax fund.
Emergency action is requested in order to more immediately provide the neighborhood health centers with resources to supplement medical, dental, and maternal health care services.
Title
To authorize Columbus Public Health to enter into a demonstration grant agreement with PrimaryOne Health in support of supplemental medical, dental, and maternal health services; to authorize an appropriation and expenditure within the Special Income Tax fund; and to declare an emergency. ($175,000.00)
Body
WHEREAS, PrimaryOne Health operates eleven locations throughout Franklin and Pickaway counties, offering a full range of primary and specialty care services, including prenatal care and women’s health; and
WHEREAS, the CelebrateOne initiative is an ongoing effort to reduce the infant mortality rate within central Ohio, which remains one of the highest in the state and disproportionately impacts minority residents and low-income communities; and
WHEREAS, PrimaryOne Health wishes to partner with the City of Columbus in a demonstration effort that will involve implementing specific services and practices in two specified locations in a high-risk area for infant mortality; and
WHEREAS, an emergency exists in the usual daily business of the city in that it is immediately necessary to authorize Columbus Public Health to enter into agreement with PrimaryOne Health in order to provide neighborhood health centers with resources to address infant mortality; now, therefore,
BE IT ORDAINED BY THE COUNCIL OF THE CITY OF COLUMBUS:
SECTION 1. That Columbus Public Health is hereby authorized and directed to enter into a demonstration grant agreement with PrimaryOne Health.
SECTION 2. That the City Auditor is hereby authorized and directed to appropriate $175,000.00 in the Special Income Tax fund, fund 4430, subfund 443001, to Columbus Public Health, in Object Class 03 - Contractual Services, per the accounting codes in the attachment to this ordinance.
See Attached File: Ord 1784-2017 Legislation Template.xls
SECTION 3. That the expenditure of $175,000.00 or so much thereof as may be needed pursuant to the actions authorized in SECTION 1, is hereby authorized in the Special Income Tax fund, fund 4430, subfund 443001, to Columbus Public Health, in Object Class 03 - Contractual Services, per the accounting codes in the attachment to this ordinance.
See Attached File: Ord 1784-2017 Legislation Template.xls
SECTION 4. That this contract is awarded pursuant to the provisions of Chapter 329 that relate to not-for-profit service contracts.
SECTION 5. That the City Auditor is authorized to make any accounting changes to revise the funding source for all contracts or contract modifications associated with this legislation.
SECTION 6. That the funds necessary to carry out the purpose of this ordinance are hereby deemed appropriated, and the City Auditor shall establish such accounting codes as necessary.
SECTION 7. That for the reasons stated in the preamble hereto, which is hereby made a part hereof, this ordinance is hereby declared to be an emergency measure and shall take effect and be in force from and after its passage and approval by the Mayor, or 10 days after passage if the Mayor neither approves nor vetoes the same.