Primary Department: Public Health Services
Primary Department Head/Elected Official: Leah Barton ─ Executive Director
Secondary Department: Harris Health System
Secondary Department Head/Elected Official: Esmaeil Porsa - President and CEO
Regular or Supplemental RCA: Regular RCA
Type of Request: Contract - Amendment
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWBE Contracted Goal (if applicable): N/A
MWBE Current Participation (if applicable): N/A
Justification for 0% MWBE Participation Goal: N/A - Goal not applicable to request
Grant Indirect Costs Rate (if applicable): N/A
Justification for 0% Grant Indirect Costs Rate (if applicable): N/A - Not a grant item
Request Summary (Agenda Caption):
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Request for approval of the first amendment to an interlocal agreement with The Harris County Hospital District d/b/a Harris Health to update the scope of work and amend the renewal terms for the Public Health Diabetes Prevention Program.
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Background and Discussion:
The Diabetes Prevention Program (DPP) at Harris County Public Health is a free lifestyle change program for individuals over the age of 18 with pre-diabetes within Harris County. Harris Health is a community-focused academic healthcare system that is committed to improving the health of those most in need in Harris County through quality care delivery, coordination of care, and education. This partnership began with Commissioners Court approval of the interlocal agreement with a term of October 1, 2024 - September 30, 2025. This amendment will extend the term of this agreement and allow both parties to execute and continue their collaborative efforts on providing diabetes management education to high-risk patients.
Expected Impact:
This amendment will extend the agreement by automatically renewing it for consecutive one-year terms, allowing both parties to continue providing care and education to high-risk Harris Health patients. Modifications include replacing terms and language to reflect current division name and leadership and amending the Scope of Work from the 2024 interlocal agreement. It will also allow 1) increased coordination of care between clinical and community-based settings for pre-diabetes education; 2) increased accessibility to Diabetes Prevention Program (DPP) services through the reduction of transportation barriers for at-risk patients; and 3) meeting or exceeding DPP’s key performance indicators, including increases in physical activity, A1C reduction, and BMI reduction. Patients who will receive education primarily reside in the following ZIP codes: 77088, 77039, 77026, 77028, 77009, 77099, 77012, 77047, 77506, and 77074; data shows that 43-50% of adults are classified as obese and 37-45% report low levels of physical activity within these geographical areas.
Alternative Options:
If Commissioners Court does not approve this amendment, diabetes prevention services and education for residents at risk for type 2 diabetes may be interrupted or taken away. These patients will have less or no access to affordable diabetes management education.
County Strategic Plan Goal: 4. Improve physical and mental health outcomes across all communities.
County Strategic Plan Objective: N: Improve the health behaviors of community members.
Justice/Safety Initiative (Goal 1): Choose an item.
Infrastructure Initiative (Goal 2): Choose an item.
Economy Initiative (Goal 3): Choose an item.
Health Initiative (Goal 4): N2: Increase food/nutrition education and access to healthier food.
Climate/Resilience Initiative (Goal 5): Choose an item.
Housing Initiative (Goal 6): Choose an item.
Additional notes related to the Strategic Plan: This agreement directly aligns with the Strategic Plan, particularly Initiative N2 and N3 under Objective N, by promoting healthier behaviors that reduce the risk of diabetes through lifestyle modifications. The program emphasizes evidence-based nutrition education, increased physical activity, and collaboration among health agencies, ensuring a comprehensive approach. This collaboration also supports the broader goal of reducing obesity and improving health outcomes.
Prior Court Action (if any):
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Action Taken |
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04/23/2024 |
212 |
Interlocal Agreement Approved |
Location:
Address (if applicable): N/A
Precinct(s): Countywide
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Anticipated Court Date: 1/29/2026
Anticipated Implementation Date (if different from Court date): 1/29/2026
Emergency/Disaster Recovery Note: Not an emergency, disaster, or ARPA related item
Contact(s) name, title, department: Jamie Hughes, Director of the Health Prevention and Coordinated Care Division, Public Health Services
Attachments (if applicable): First Amendment to Interlocal Agreement