HomeMy WebLinkAboutRes2020-072 Sponsored
OF SEWARD,ALASKA by: Meszaros
RESOLUTION 2020-072
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SEWARD,
ALASKA, ACCEPTING THREE GRANTS IN THE TOTAL AMOUNT OF
$724,018 FROM THE CORONAVIRUS PREPAREDNESS AND
RESPONSE SUPPLEMENTAL APPROPRIATIONS ACT UNDER THE
U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION
(HRSA), FOR THE MITIGATION OF COVID-19 EFFECTS AT THE
SEWARD COMMUNITY HEALTH CENTER (SCHC), AND
APPROPRIATING FUNDS
WHEREAS, the SCHC was notified that HRSA had appropriated a total of$724,018 to
the SCHC in a FY 2020 Coronavirus Supplemental Funding for Health Centers Program in three
separate grants; and
WHEREAS, the first grant was appropriated in the amount of $52,039 on March 19,
2020; and
WHEREAS, the second grant was appropriated in the amount of$540,350 on April 3,
2020; and
WHEREAS, the third grant was appropriated in the amount of $131,629 on May 4,
2020; and
WHEREAS, the COVID-19 Grant documentation states that the purpose of these funds
"are one-time (not ongoing) resources to help you prevent, prepare for, and respond to COVID-
19"; and
WHEREAS, these funds will mitigate the COVID-19 effects at the SCHC. The SCHC
incurred many expenses due to the Coronavirus pandemic. Expenses included, but are not
limited to: medical equipment, personal protective equipment, personnel costs, COVID testing,
temporary housing for out-of-state contractors, communication costs, and travel costs; and
WHEREAS, acceptance of these grant amounts will allow the SCHC to continue
offering medical services to the Seward community and to maintain their preparedness in
relation to the COVID-19 pandemic.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF SEWARD,ALASKA that:
Section 1. The Seward City Council hereby accepts the grant funds in the amount of
$724,018 from the Coronavirus Preparedness and Response Supplemental Appropriations Act
under the U.S. Department of Health Resources and Services Administration.
CITY OF SEWARD, ALASKA
RESOLUTION 2020-072
_1
Section 2. Funding in the amount of$724,018 is hereby appropriated from HRSA federal
grant account no. 30041-0000-4251-0080 to SCHC pass-thru payments account no. 3 004 1-0000-
7809-0080.
Section 3. This resolution shall take effect immediately upon adoption.
PASSED AND APPROVED by the City Council of the City of Seward, Alaska, this
24th day of August, 2020.
TH ITY OF EWARD AL SKA
Christy Terr , Mayo
AYES: Baclaan, McClure, Seese, Osenga, Terry
NOES: None
ABSENT: None
ABSTAIN: Crites (This item was approved on consent; Council Member Crites abstained
from voting on the Agenda and Consent Agenda due to a Conflict of Interest)
ATTEST:
Brenda J. Ballo MC
City Clerk ..........j,
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Agenda Statement
Meeting Date: August 24, 2020
To: Seward City Council
From: Scott Meszaros, City Manager
Agenda Item: A Resolution of the City Council of the City of Seward, Alaska to Accept
Three Grants in the Total Amount of $724,018.00 from the Coronavirus
Preparedness and Response Supplemental Appropriations Act Under the U.S.
Health Resources and Services Administration(HRSA),for the Mitigation of
COVID-19 Effects at the Seward Community Health Center (SCHC), and
Appropriating Funds.
BACKGROUND & JUSTIFICATION:
The Seward Community Health Center (SCHC) incurred many expenses due to the Coronavirus
pandemic. Expenses include, but are not limited to: medical equipment, personal protective
equipment, personnel costs, COVID testing, temporary housing for out-of-state contractors,
communication costs, and travel costs. These expenses are included in this resolution under the
Seward Community Health Center Budget Narrative and Personnel Justification Table.
The SCHC was notified that HRSA had appropriated a total of $724,018.00 to the SCHC in a
FY2020 Coronavirus Supplemental Funding for Health Centers Program in three separate grants:
• First grant: appropriated in the amount of$52,039.00 on March 19, 2020
• Second grant: appropriated in the amount of$540,350.00 on April 03, 2020
• Third grant: appropriated in the amount of$131,629.00 on May 04, 2020
The COVID-19 Grant documentation states that the purpose of these funds "are one-time (not
ongoing) resources to help you prevent, prepare for, and respond to COVID-19" at the SCHC.
Acceptance of these grant amounts will allow the SCHC to continue offering medical services to the
Seward community and to maintain their preparedness in relation to the COVID-19 pandemic.
INTENT:
To accept three grant appropriations in the total amount of$724,0I8.00 from the Coronavirus
Preparedness and Response Supplemental Appropriations Act under the U.S. Department of
Health Resources and Services Administration.
CONSISTENCY CHECKLIST: Yes No NIA
1. Comprehensive Plan: X
2. Strategic Plan: X
239
------- _ ----
3 Other(list): SCHC budget narrative and incurred expenses included X
with HRSA grant documentation
FISCAL NOTE:
As the grantee for the SCHC, the City will receive the grant funds from HRSA and pass the
payments on to the Clinic for the mitigation of COVID-19 effects.
Approved by Finance Department:
ATTORNEY REVIEW: Yes................. ....... No_X
RECOMMENDATION:
Approval of Resolution 2020-072 allowing the SCHC to accept the three grant
appropriations from HRSA in the total amount of$724,018.00.
240
1.DATE ISSUED: 2.PROGRAM CFDA:93.224
3.SUPERSEDES AWARD NOTICE dated:
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded.
4a.AWARD NO.: 4b.GRANT NO.: 5.FORMER GRANT HoAhRommeoand9crvIMA4rmP15 ramvn
1 H8CCS33972-01-00 H8CCS33972 NO.: NOTICE OF AWARD
6.PROJECT PERIOD: AUTHORIZATION(Legislation/Regulation)
FROM:03/15/2020 THROUGH:03/14/2021 Coronavirus Preparedness and Response Supplemental
7.BUDGET PERIOD: Appropriations Act,2020[P.L. 116-123]
FROM:03/15/2020 THROUGH:03/14/2021
8.TITLE OF PROJECT(OR PROGRAM): FY 2020 Coronavirus Supplemental Funding for Health Centers
9.GRANTEE NAME AND ADDRESS: 10.DIRECTOR:(PROGRAM DIRECTOR/PRINCIPAL
SEWARD,CITY OF INVESTIGATOR)
PO BOX 167 Craig Ambrosiani
Seward,AK 99664-0167 SEWARD,CITY OF
DUNS NUMBER: PO BOX 2895
037996634 Seward,AK 99664-2895
BHCMIS#1OE00170
11.APPROVED BUDGET:(Excludes Direct Assistance) 12.AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[X]Grant Funds Only a.Authorized Financial Assistance This Period $62,039.00
[ ] Total project costs including grant funds and all other financial participation b.Less Unobligated Balance from Prior Budget
Periods
a. Salaries and Wages: $0.00
i.Additional Authority $0.00
b. Fringe Benefits: $0.00
ii.Offset $0.00
c. Total Personnel Costs: $0.00
c.Unawarded Balance of Current Year's Funds $0.00
d. Consultant Costs. $0.00
d.Less Cumulative Prior Awards(s)This Budget $0.00
e. Equipment: $0.00 Period
f. Supplies: $0.00 e.AMOUNT OF FINANCIAL ASSISTANCE THIS $62,039.00
g. Travel: $0.00 ACTION
h. Construction/Alteration and Renovation : $0.00 13.RECOMMENDED FUTURE SUPPORT:(Subject to the
availabiliitv of funds and satisfactory progress ofproject)
i. Other: $52,039.00 YEAR TOTAL COSTS
j. Consortium/Contractual Costs: $0.00 Not applicable
k. Trainee Related Expenses: $0.00
14.APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
I. Trainee Stipends: $0.00 a.Amount of Direct Assistance $0.00
m Trainee Tuition and Fees: $0.00 b. Less Unawarded Balance of Current Year's Funds $0.00
n. Trainee Travel: $0.00 c. Less Cumulative Prior Awards(s)This Budget Period $0.00
o. TOTAL DIRECT COSTS: $52,039.00 d.AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
p. INDIRECT COSTS(Rate:%of S&W/TADC): $0.00
q. TOTAL APPROVED BUDGET: $52,039.00
i.Less Non-Federal Share: $0.00
ii.Federal Share: $52,039.00
16.PROGRAM INCOME SUBJECT TO 45 CFR 76.307 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES:
A=Addition B=Deduction C=Cost Sharing or Matching D=Other [A]
Estimated Program Income:$0.00
16.THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO,AND AS APPROVED BY HRSA,IS ON THE ABOVE TITLED PROJECT
AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:
a.The grant program legislation cited above.b.The grant program regulation cited above.c.This award notice including terms and conditions,if any,noted below under REMARKS.d.45 CFR Part 75 as
applicable.In the event there are conflicting or otherwise inconsistent policies applicable to the grant,the above order of precedence shall prevail.Acceptance of the grant terms and conditions is
acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system.
REMARKS:(Other Terms and Conditions Attached[X]Yes []No)
Electronically signed by Elvera Messina,Grants Management Officer on:03/19/2020
17.OBJ.CLASS:41.51 18.CRS-EIN: 1926000086A1 1119.FUTURE RECOMMENDED FUNDING:$0.00
FY-CAN CFDA DOCUMENT NO. AMT.FIN.ASST. AMT.DIR.ASST. SUB PROGRAM SUB ACCOUNT
CODE CODE
20-
20-398C160 93.224 20H8CCS33972CV $52,039.00 $0.00 CH COVID19BPHC-
CV
241
Page 1
A printer version document only. The document may contain some accessibility challenges for the screen reader users.To access same information,a fully 508 compliant accessible HTML version is available on the HRSA Electronic Handbooks.If you need more
information,please contact HRSA contact center at 8774644772,8 am to 8 pm ET,weekdays.
Seward Community Health Center
COVID Activity Overview H8C
Prevent:Our first actions to the COVID19 risk was to collaborate with our local healthcare providers,
local government, and business community. We immediately started to communicate to our community
through this group, by informing them of the latest developments of the virus and countermeasures
such as social distancing and stay at home recommendations. We reached out to local canneries, marine
repair, and construction companies to discuss prevention strategies and provide our clinic as a resource
for updated information about prevention of the spread. This was well received and continued as a
communication link to the City EOC. The two larger employers also made press releases detailing their
prevention efforts to assure the community that they were doing their part to protect our community.
Prepare:After Alaska confirmed their first case, we opened ourjoint medical Emergency Operations
Center(EOC)with the clinic and local hospital, and our local government EOC. We re-deployed our Clinic
Manager to act as an onsite COVID Director assigned to participate in the daily briefings from the two
EOC's and the State epidemiology department. Her main new duties were to learn about the latest
interventions, communicate to our staff, administration and the EOC's and determine new training
requirements for our staff.The medical EOC has been keeping track of our testing supplies and our PPE
supplies. The City EOC group decided that all communication with our community would go through the
City's Project Information Officer, so the community was not overloaded with local information. The
community was advised and later mandated by the State to stay at home. Minutes from the three-
weekly city EOC meetings,with over 20 participants, are posted on the City website to keep the
community up to date on initiatives and changes.
Respond:To respond to the needs of our patients for clinical services, we acquired tablets and laptop
computers for telemed services from our clinic and from provider's homes, with support staff connected
to provide screening. We required that one third of our clinical and front desk staff work from home on
a rotating weekly basis, so that we would not risk infecting all of our providers with one infectious clinic
patient. We locked the front doors of the clinic and meet each patient outside the front doors to assess
them and provide them with a mask, before allowing them to enter the building. We quarantined staff
that had travelled out of state before our boarders were restricted. We have moved our pediatric clinic
temporarily to an off-site location,with staff that are not actively working in the clinic, so patients are
assured a healthy environment. We are providing daily curbside testing where the patient does not
leave their vehicle and assist the local hospital with weekly drive through testing. We have also
designated half of our clinic rooms for respiratory patients, to provide isolated services. We are also
working closely and financially assisting with the production of cloth face masks to be distributed to our
community at local public businesses.
Page 1 of 1
242
FY 2020 Coronavirus Supplemental Funding for Health Centers(COVID-19)
Seward Community Health Center Budget Narrative and Personnel Justification Table
COVID-19 funds are one-time(not ongoing)resources to help you prevent,prepare for,and respond to COVID-19 in your community.To respond to
your COVID-19 Response Reporting
Requirement,submit a budget narrative and a personnel justification table via HRSA Electronic Handbooks(EHBs).Referto the COVID-
19 technical assistance webpage for Example of Allowable Uses of Funding and the COVID-19 Reporting Requirement Guidance.
Budget Narrative
Upload a budget narrative that clearly explains and justifies the federal expenditures that have been(dating back to January 20,2020)or will be used
to address COVID-19,as demonstrated in the example below.
Object Class Category with Example Line Items Federal
Requested COVID-19 funding to
support line item
PERSONNEL
Implementation of COVID/Onsite Medical Director position to provide leadership in the preparation,prevention,and $ 20,000.00
treatment of COVID-19.0.16FTEs
TOTAL PERSONNEL $ 20,000.00
FRINGE BENEFITS
Medicare/SS @ 7.15% $ 1,430.00
Health Insurance @ X%
Dental @ X%
Unemployment Insurance @ 1% $ 200.00
Clothing allowance to purchase additional scrubs and safety gear(for work use only)or to use for laundry services to help $ 2,400.00
prevent cross contamination at home
TOTAL FRINGE BENEFITS $ 4,030.00
Object Class Category with Example Line Items Federal
Requested COVID-19 funding to
support line item
TRAVEL
Detail travel costs consistent with your organization's established travel policy and in compliance with 45 CFR§75.474
TOTALTRAVEL $
EQUIPMENT
None
TOTAL EQUIPMENT $ -
SUPPLIES
COVID-19 Related Supplies including PPE&community monitoring devices (thermometers,blood pressure cuffs,masks) $ 5,400.00
Minor Equipment for establishment of telemedicine program including monitors,laptops,camera,headsets,tablets. $ 16,609.00
TOTAL SUPPLIES $ 22,009.00
CONTRACTUAL
TOTAL CONTRACTUAL $ -
OTHER
Dues&Subscriptions related to implementation of tele-medicine(Zoom,Doxy.net) $ 6,000.00
TOTAL OTHER $ 6,000.00
INDIRECT COSTS
Include only if your organization has a negotiated indirect cost rate or has previously claimed a de minimus rate of 10%of
modified total direct costs
243
Object Class Category with Example Line Items Federal
Requested COVID-19 funding to
support line item
X.XX%approved indirect rate
NIA
TOTAL INDIRECT COSTS
TOTAL BUDGET Is 52,039.00
S (0.00)
244
1.DATE ISSUED: 2.PROGRAM CFDA:93.224
04/03/2020 us.DeparwemeHram and RNM sw*n
3.SUPERSEDES AWARD NOTICE dated:
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded.
4a.AWARD NO.: 4b.GRANT NO.: 5.FORMER GRANT noolthr9oscurwaands.nla�aAdwnanyk.6lvn
1 H8DCS35389-01-00 H8DCS35389 NO.:
NOTICE OF AWARD
6.PROJECT PERIOD:
FROM:04/01/2020 THROUGH:03/31/2021 AUTHORIZATION(Legislation/Regulation)
Coronavirus Aid, Relief and Economic Security(CARES)Act
7.BUDGET PERIOD:
FROM:04/01/2020 THROUGH:03/31/2021
8.TITLE OF PROJECT(OR PROGRAM): Health Center Coronavirus Aid,Relief,and Economic Security(CARES)Act Funding
9.GRANTEE NAME AND ADDRESS: 10.DIRECTOR:(PROGRAM DIRECTOR/PRINCIPAL
SEWARD,CITY OF INVESTIGATOR)
PO BOX 167 Craig Ambrosiani
Seward,AK 99664-0167 SEWARD,CITY OF
DUNS NUMBER: PO BOX 2895
037996634 Seward,AK 99664-2895
BHCMIS#1OE00170
11.APPROVED BUDGET:(Excludes Direct Assistance) 12.AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[X]Grant Funds Only a.Authorized Financial Assistance This Period $640,360.00
[ ] Total project costs including grant funds and all other financial participation b.Less Unobligated Balance from Prior Budget
Periods
a. Salaries and Wages: $0.00
i.Additional Authority $0.00
b. Fringe Benefits: $0.00
ii.Offset $0.00
c. Total Personnel Costs: $0.00
c.Unawarded Balance of Current Year's Funds $0.00
d. Consultant Costs. $0.00
d.Less Cumulative Prior Awards(s)This Budget $0.00
e. Equipment: $0.00 Period
f. Supplies: $0.00 e.AMOUNT OF FINANCIAL ASSISTANCE THIS $640,360.00
g. Travel: $0.00 ACTION
h. Construction/Alteration and Renovation : $0.00 13.RECOMMENDED FUTURE SUPPORT:(Subject to the
availabiliitv of funds and satisfactory progress ofproject)
i. Other: $540,350.00 YEAR TOTAL COSTS
j. Consortium/Contractual Costs: $0.00 Not applicable
k. Trainee Related Expenses: $0.00
14.APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
I. Trainee Stipends: $0.00 a.Amount of Direct Assistance $0.00
m Trainee Tuition and Fees: $0.00 b. Less Unawarded Balance of Current Year's Funds $0.00
n. Trainee Travel: $0.00 c. Less Cumulative Prior Awards(s)This Budget Period $0.00
o. TOTAL DIRECT COSTS: $540,350.00 d.AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
p. INDIRECT COSTS(Rate:%of S&W/TADC): $0.00
q. TOTAL APPROVED BUDGET: $540,350.00
i.Less Non-Federal Share: $0.00
ii.Federal Share: $540,350.00
16.PROGRAM INCOME SUBJECT TO 45 CFR 76.307 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES:
A=Addition B=Deduction C=Cost Sharing or Matching D=Other [A]
Estimated Program Income:$0.00
16.THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO,AND AS APPROVED BY HRSA,IS ON THE ABOVE TITLED PROJECT
AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:
a.The grant program legislation cited above.b.The grant program regulation cited above.c.This award notice including terms and conditions,if any,noted below under REMARKS.d.45 CFR Part 75 as
applicable.In the event there are conflicting or otherwise inconsistent policies applicable to the grant,the above order of precedence shall prevail.Acceptance of the grant terms and conditions is
acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system.
REMARKS:(Other Terms and Conditions Attached[X]Yes []No)
Electronically signed by Elvera Messina,Grants Management Officer on:04/03/2020
17.OBJ.CLASS:41.51 18.CRS-EIN: 1926000086A1 1119.FUTURE RECOMMENDED FUNDING:$0.00
FY-CAN CFDA DOCUMENT NO. AMT.FIN.ASST. AMT.DIR.ASST. SUB PROGRAM SUB ACCOUNT
CODE CODE
20-
20-398V160 93.224 20H8DCS35389C3 $540,350.00 $0.00 CH COVID19BPHC-
C3
245
Page 1
A printer version document only. The document may contain some accessibility challenges for the screen reader users.To access same information,a fully 508 compliant accessible HTML version is available on the HRSA Electronic Handbooks.If you need more
information,please contact HRSA contact center at 8774644772,8 am to 8 pm ET,weekdays.
Seward Community Health Center
Grant Narrative Overview H8D May 7, 2020
Safety— Health centers are safe for staff and patients
After Alaska confirmed their first case, we opened our joint medical Emergency Operations Center(EOC)
with ourselves, local hospital, and our local government EOC. Being part of a small community, the
Health Center staff worked closely with the Hospital and City staff to plan our surge capacity by
converting a local gymnasium into an overflow care center which would potentially use our staff for
back-up support. Our community group with about 20 participants meets three times a week to discuss
any updates and changes that need to take place in our community to comply.
We have several staff members participate in State, regional, community and local hospital Zoom
meetings ranging from daily to three times a week. This information is shared at our daily Leadership
meetings and notes from the leadership meeting are sent to all staff daily, so our staff is kept appraised
of changes in our organization and our community. We also instituted mandatory training for caregivers
on proper PPE use through our HealthStream staff education software.
In an effort to prevent health center staff absenteeism we consistently have one-third of our clinic staff
working from home. During their week at home providers and support staff are utilizing telemed
methods to conduct patient visits. While our patient volume is low, at home staff are reviewing and
updating policies, procedures,job descriptions and workflows to reflect current practice. We purchased
secured laptops and workstations for non-essential and work at home staff to work from home. Staff
that needed to quarantine were also able to work from home. Administrative staff is located in a
building separate from the clinic building where additional workstations were added for staff.
Health Center safety for staff and patient safety align with CDC guidelines for masking and cleaning
regimens between patients. All surfaces, chairs, pens and touch screens are sanitized between patients.
We have locked all entrance points of our building with patients and employees being screened for
symptoms before entry. Universal masking protocols are in place in our building. Patients with
symptoms are screened by phone or telemed and tested in their vehicles outside of our facility by our
staff with proper PPE.
Response—Detect, prevent, diagnose, and treat COVID-19
This is not a sprint it is a marathon. We will be using temporary staffing through the summer months to
allow vacations and down time for current staff members, or for surge coverage if needed.
Telehealth will need to be a strong and reliable method for delivering primary care to our patients. We are
delivering limited telehealth, but it is on an unreliable platform and non-redundant phone system that needs
to be upgraded. Our plan is to contract IT support to upgrade our network and provide infrastructure
support. We are also working towards telemed chronic case management that will allow us to monitor and
review chronic patients on a frequent basis without a need for an appointment. We have also purchased a
limited number of telemed kits which include a device and some peripheral equipment so patients without a
home or internet can receive a telemed visit. Currently our case manager and RN staff call every patient that
has presented with COVID symptoms and tested either positive or negative on a daily basis until they are
symptom free for 7-10 days.
246
Community wide preventative measures have ben communicated through the City Information Officer.
Communications and updates are provided from our local work group,the Borough and State sources. We
have assisted by participating in meetings, contacting local employers as a resource, assisting with creating
posters for masking, public service messages on hygiene, social media information for hygiene, symptoms
and financially assisting our local Senior Center to make over 3.000 masks so far,for community distribution
Maintain and increase capacity to provide comprehensive primary health care
We have continued to compensate our staff for their regular hours with reduced patient volumes. We
have also maintained salaries for staff who were quarantined. We had some staff whose families were
impacted, and they were unable to work, or work their full hours. We kept these employees whole and
assisted them in signing up for appropriate programs for their situation to make sure that they were not
negatively impacted. We were able to create a virtual list of tasks that ranged from policy review to
contacting patients who are due for visits that were delayed due to the pandemic, for staff to select and
complete during slow times and while working from home, with supervisory oversite. Due to our efforts
and financial assistance from HRSA we have not had any resignations or furloughs during this crisis.
In the last 1.5 months, we have rapidly deployed rudimentary telehealth medicine offerings to ensure
basic health needs such as medication refills, follow-ups, and consults can continue. However,
preventive health appointments, screenings, and ensuring continuity of care which is critical to
maintaining and improving individual and population health have been delayed. In April 2020 about 22%
of our patient's visits were telephonic and 15%were telemed visits. We know that telephone visits are
very limited and are planning to increase our ability to provide telehealth visits to patients without
internet services, by improving our network platform and purchasing more portable devices.
Our plan for expanded services is to provide telemed services from our clinic to specialists in Anchorage
approximately 120 miles away. We do not have specialty providers in Seward, and it is usually a five-
hour round trip to see one in Anchorage. This will be an improvement for many of our community
members.
247
FY 2020 H8D Coronavirus Supplemental Funding for Health Centers(COVID-19)
Seward Community Health Center Budget Narrative and Personnel Justification Table
Budget Narrative
Object Class Category with Example Line Items Federal
PERSONNEL
Medical Directorto provide leadership in the preparation,prevention,and treatment of COVID-19.0.14FTEs $ 17,566.09
Physicians to provide COVID-19 screening,testing,and treatment.0.3FTEs $ 58,795.40
Mid-Level Providers to provide COVID-19 screening,testing,and treatment.0.73FTEs $ 104,402.73
Nursing Staffto provide COVID-19 screening,testing,and treatment.0.48FTEs $ 42,931.20
Clinical Support Staffto perform scheduling,registration,and COVID-19 screening.1.51FTEs $ 64,343.47
Behavioral Health staff to provide telemedicine services to COVID-19 patients and the community.0.08FTEs $ 6,552.00
Outreach Staffto promote COVID-19 education and awareness.0.24FTEs $ 10,857.60
Admin staff to provide leadership and support for COVID-19 related activities including establishing telemedicine processes and $ 55,600.10
procedures&developing technology infrastructure.0.48FTEs
Finance/HR/Billing staff to maintain funding and respond to staffing needs.0.64FTEs $ 49,108.80
Contracted(1099)staff to provide coverage for regular FT employees and additional support.0.07FTEs $ 11,600.00
TOTAL PERSONNEL $ 421,757.39
FRINGE BENEFITS(W-2 Employees Only)
Medicare/SS @ 7.15% $ 29,326.25
Health Benefits(HSA)@ 2.02% $ 8,285.09
Unemployment Insurance @ 0.8% $ 3,281.26
TOTAL FRINGE BENEFITS $ 40,892.60
Object Class Category with Example Line Items Federal
TRAVEL
Housing rental for temporary out-of-state Nurse Practictioner(4.5months)to provide additional coverage during COVID-19 and $ 5.850.00
summer season surges($1,300/month)
TOTAL TRAVEL $ 5,850.00
EQUIPMENT
None
TOTAL EQUIPMENT $
SUPPLIES
TOTAL SUPPLIES $
CONTRACTUAL
Contracted IT support services to strengthen network,install firewalls,upgrade phone lines,develop telemedicine policies& $ 57,000.00
procedures and provide technology infrastructure support and training for personnel and patients(Total quoted project cost=
$228k. Multi-fund project.25%requested)
TOTAL CONTRACTUAL $ 57,000.00
OTHER
Communication expenses including local/long distance phone($1,200/mo*6 months),cellular phone/data($300/mo*6 $ 14,850.00
months),&internet connection($975/mo*6 months)essential for COVID-19 response including telemedicine and remote
TOTAL OTHER $ 14,850.00
INDIRECT COSTS
Object Class Category with Example Line Items Federal
X.XX%approved indirect rate S A
TOTAL INDIRECT COSTS
TOTAL BUDGET $ 540,350.00
S 0.00
248
1.DATE ISSUED: 2.PROGRAM CFDA:93.224
05/04/2020 ,.^'A=S.Depr"emeHamm°HLWMSwAn
3.SUPERSEDES AWARD NOTICE dated:
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded.
4a.AWARD NO.: 4b.GRANT NO.: 5.FORMER GRANT HoAhRommeoand5mrviv AdminlsRraman
1 H8ECS37707-01-00 H8ECS37707 NO.: NOTICE OF AWARD
6.PROJECT PERIOD: AUTHORIZATION(Legislation/Regulation)
FROM:05/01/2020 THROUGH:04/30/2021 H.R.266, Paycheck Protection Program and Health Care
7.BUDGET PERIOD: Enhancement Act
FROM:05/01/2020 THROUGH:04/30/2021
8.TITLE OF PROJECT(OR PROGRAM): FY 2020 Expanding Capacity for Coronavirus Testing(ECT)
9.GRANTEE NAME AND ADDRESS: 10.DIRECTOR:(PROGRAM DIRECTOR/PRINCIPAL
SEWARD,CITY OF INVESTIGATOR)
PO BOX 167 Craig Ambrosiani
Seward,AK 99664-0167 SEWARD,CITY OF
DUNS NUMBER: PO BOX 2895
037996634 Seward,AK 99664-2895
BHCMIS#1OE00170
11.APPROVED BUDGET:(Excludes Direct Assistance) 12.AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[X]Grant Funds Only a.Authorized Financial Assistance This Period $131,629.00
[ ] Total project costs including grant funds and all other financial participation b.Less Unobligated Balance from Prior Budget
Periods
a. Salaries and Wages: $0.00
i.Additional Authority $0.00
b. Fringe Benefits: $0.00
ii.Offset $0.00
c. Total Personnel Costs: $0.00
c.Unawarded Balance of Current Year's Funds $0.00
d. Consultant Costs. $0.00
d.Less Cumulative Prior Awards(s)This Budget $0.00
e. Equipment: $0.00 Period
f. Supplies: $0.00 e.AMOUNT OF FINANCIAL ASSISTANCE THIS $131,629.00
g. Travel: $0.00 ACTION
h. Construction/Alteration and Renovation : $0.00 13.RECOMMENDED FUTURE SUPPORT:(Subject to the
availabiliitv of funds and satisfactory progress ofproject)
i. Other: $131,629.00 YEAR TOTAL COSTS
j. Consortium/Contractual Costs: $0.00 Not applicable
k. Trainee Related Expenses: $0.00
14.APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
I. Trainee Stipends: $0.00 a.Amount of Direct Assistance $0.00
m Trainee Tuition and Fees: $0.00 b. Less Unawarded Balance of Current Year's Funds $0.00
n. Trainee Travel: $0.00 c. Less Cumulative Prior Awards(s)This Budget Period $0.00
o. TOTAL DIRECT COSTS: $131,629.00 d.AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
p. INDIRECT COSTS(Rate:%of S&W/TADC): $0.00
q. TOTAL APPROVED BUDGET: $131,629.00
i.Less Non-Federal Share: $0.00
ii.Federal Share: $131,629.00
16.PROGRAM INCOME SUBJECT TO 45 CFR 76.307 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES:
A=Addition B=Deduction C=Cost Sharing or Matching D=Other [A]
Estimated Program Income:$0.00
16.THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO,AND AS APPROVED BY HRSA,IS ON THE ABOVE TITLED PROJECT
AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:
a.The grant program legislation cited above.b.The grant program regulation cited above.c.This award notice including terms and conditions,if any,noted below under REMARKS.d.45 CFR Part 75 as
applicable.In the event there are conflicting or otherwise inconsistent policies applicable to the grant,the above order of precedence shall prevail.Acceptance of the grant terms and conditions is
acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system.
REMARKS:(Other Terms and Conditions Attached[X]Yes []No)
Electronically signed by Elvera Messina,Grants Management Officer on:05/04/2020
17.OBJ.CLASS:41.51 18.CRS-EIN: 1926000086A1 1119.FUTURE RECOMMENDED FUNDING:$0.00
SUBPROGRAM SUB
FY-CAN CFDA DOCUMENT NO. AMT.FIN.ASST. AMT.DIR.ASST. CODE ACCOUNT
CODE
20-398T160 93.224 20H8ECS37707C4 $131,629.00 $0.00 CH 20-COVID19-
BPHC-C4
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Seward Community Health Center
Grant narrative overview H8E
Support activities to purchase, administer, and expand capacity for testing to monitor and suppress
COVID-19
The communities in our service area have taken the COVID10 threat seriously and have worked together
to take precautions and prevent the virus from being established and spreading in our community. So
far, we have only had three confirmed COVID 19 cases in our service area of approximately 6,000 year
round residents. Our patient volumes had dropped to about 40%of normal but have started to increase
in May. We have not laid off any staff or decreased our services. We are currently and will continue to
offer our staff testing on a weekly basis. The local businesses and agencies communicate on a weekly
basis about their needs and how they are being handled.
For symptomatic testing we have been providing screening, testing, result follow-up and daily case
management calls until seven days after symptoms have subsided. All testing and results have been
reported to the State and we have worked closely with the State Department of Health.
The major areas of concern in our service area are Spring Creek State Prison, 500 inmates, 100 staff, the
fish canneries, 100 year round and 300—500 summer employees. Commercial fishing vessels are
numerous and somewhat unpredictable as to their volume of deckhands coming into town. The various
summer businesses ranging from sightseeing tour boats, charter fishing, hotels and restaurants that
accommodate about 2,000 visitors a day, are expecting to see about 50%of average summer visitors.
Volumes are down this summer as the cruise ships that normally total about 60 per summer will be zero
in 2020.
Based on the areas of concern we are constantly changing our testing plan for active infection. We have
yet to develop a prior exposure testing plan but are expecting to add this testing in the near future. We
are currently and will continue to provide asymptomatic on-site active infection testing, multiple times a
week, at local canneries and other businesses with high risk of exposure, like restaurants and hotels. As
our testing supply grows,we will be opening testing for all residents and visitors with increased drive
thru/walk thru testing and on-site education. We will also be travelling to other communities in our
service area to provide testing and education for residents and visitors where travel is a barrier to
testi ng.
We have been fortunate in Alaska that our State has been providing testing services at no-cost, we have
also not been charging for asymptomatic testing. Our supply costs will be mostly for PPE and testing
supplies.
We will continue to collaborate with local and State agencies and provide testing and resources as
needed.
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FY 2020 H8E Expanding Capacity for Coronavirus Testing (ECT)
Seward Community Health Center Budget Narrative and Personnel Justification Table
Budget Narrative
Object Class Category with Example Line Items Federal
PERSONNEL
Physicians to supervise COVID-19 testing during community drive-thru testing hours and mobile testing events.0.1FTEs $ 20,235.90
Mid-Level Providers to conduct COVID-19 testing during community drive-thru testing hours and mobile testing events.0.19FTEs $ 29,200.00
Nursing Staff to conduct COVID-19 testing during community drive-thru testing hours and mobile testing events.0.19FTEs $ 14,000.00
Clinical Support Staff to greet patients,perform ID Checks,and provide other support during drive-thru COVID-19 testing and $ 8,800.00
mobile testing events.0.19FTEs
Contracted(1099)staff to provide coverage for regular FT employees and additional support.0.19FTEs $ 30,000.00
TOTAL PERSONNEL $ 102,235.90
FRINGE BENEFITS(W-2 Employees Only)
Medicare/SS @ 7.15% $ 5,164.87
Unemployment Insurance @ 0.8% $ 577.89
TOTAL FRINGE BENEFITS $ 5,742.75
Object Class Category with Example Line Items Federal
TRAVEL
Local travel for COVID-19 mobile testing teams(2-3 staff members)providing screening and testing services in outlying areas $ 490.50
including Moose Pass,AK.(3 trips x 5 months x 60 miles RT x $0.545/mi rate)
Local travel for COVID-19 mobile testing teams(2-3 staff members)providing bulk screening and testing services at local seafood $ 179.85
processors,Marine services,and other businesses.(3 trips x 5 months x 22 miles RT x $0.545/mi rate)
TOTAL TRAVEL $ 670.35
EQUIPMENT
TOTAL EQUIPMENT $ -
SUPPLIES
Covid-19 Rapid Test Kits-Set of 20(30gty @$500ea) $ 15,000.00
Phlebotomy supplies for specimen collection including:Nasopharyngeal Swabs-Case of 1,000gty(1gty @$950ea),Speciman Bag- $ 1,025.00
Set of 1,000gty(1gty @$75)
Personal protective equipment including:N95 Masks-Set of 100gty(3gty @$50ea),Gloves-Box of 200gty(5gty @$15ea) $ 225.00
Temporary structure/extra large canopy tent for portable drive-thru testing station(1gty @$350ea) $ 350.00
TOTAL SUPPLIES $ 16,600.00
CONTRACTUAL
Courier service for transfer of testing specimans to State of Alaska lab in Anchorage,AK(4 trips per month*5 months @$200 per $ 4,000.00
RT trip)
TOTAL CONTRACTUAL $ 49000.00
OTHER
Recruiting expenses for temporary and contract(1099)staff to provide coverage for regular FT employees and additional support $ 1,080.00
for COVID-19 Testing expansion including background checks(4gty @$60ea),drug tests(4gty @$100ea),credentialing(4gty @
$80ea),degree verification(4gty @$30ea)
Community Outreach/Promotion expenses including educational flyers-Set of 2,500gty(1 @$300ea)/brochures-Set of 2k(1gty $ 1,300.00
@$600 total)for testing and testing availability and mailing fees($400)
TOTAL OTHER $ 2,380.00
INDIRECT COSTS
Object Class Category with Example Line Items Federal
X.XX%approved indirect rate N/A
TOTAL INDIRECT COSTS
TOTAL BUDGET $
$ (0.00)
251