Primary Department: Public Health Services
Primary Department Head/Elected Official: Leah Barton ─ Executive Director
Secondary Department: N/A
Secondary Department Head/Elected Official:
Regular or Supplemental RCA: Supplemental RCA
Type of Request: Interlocal Agreement
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): Harris County Hospital District DBA Harris Health System
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):
title
Request by Public Health Services for approval of an interlocal agreement with the Harris County Hospital District DBA Harris Health System for the ACCESS Harris Program.
end
Background and Discussion:
A new interlocal agreement was proposed following the guidance and recommendations made during June 12, 2025 Commissioners Court for Harris Health System to fund the nurse case manager position that supports the ACCESS Harris Program. This position was previously funded by Public Health Services. The nurse case manager will support the ACCESS Harris County program for no more than 32 hours per month. ACCESS Harris County is an integrated care coordination model that works across County safety net departments and community-based organizations. The program delivers coordinated and integrated services across systems and programs that focus on supporting a client holistically, addressing multiple needs that ensure better outcomes and greater stability. Harris Health System will collaborate with HCPH, as part of the ACCESS Coordinated Care team, to develop integrated care plans and service goals for eligible ACCESS participants.
Expected Impact:
The Nurse Case Manager plays a vital role by conducting comprehensive assessments to understand participants’ medical, psychological, and social needs. This position will assist ACCESS participants by providing support and advocacy to participants and their families through field visits, phone calls, health advocacy, and referrals to other support organizations. The Nurse Case Manager serves as a subject-matter expert in healthcare education, care coordination, and patient advocacy, ensuring that ACCESS participants receive timely, high-quality care and support. This new interlocal agreement comes at no additional cost to the County and ensures alignment with the County Strategic Plan Goal of improving physical and mental health outcomes across all communities.
Alternative Options:
None at this time.
County Strategic Plan Goal: 4. Improve physical and mental health outcomes across all communities.
County Strategic Plan Objective: O: Increase access to quality health care, including preventive and behavioral health.
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): O2: Expand impact of care coordination teams through the ACCESS program.
Climate/Resilience Initiative (Goal 5): Choose an item.
Housing Initiative (Goal 6): Choose an item.
Additional notes related to the Strategic Plan:
Prior Court Action (if any):
|
Date |
Agenda Item # |
Action Taken |
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06/12/2025 |
128 |
New interlocal agreement recommended to change payment details |
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03/26/2024 |
647 |
Amendment to Interlocal agreement unanimously approved. |
|
06/06/2023 |
130 |
Interlocal agreement unanimously approved. |
Location:
Address (if applicable): N/A
Precinct(s): Countywide
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County Attorney’s Office Legal Review (for Harris County Code Items only) |
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Anticipated Court Date: May 14, 2026
Anticipated Implementation Date (if different from Court date): May 14, 2026
Emergency/Disaster Recovery Note: Not an emergency, disaster, or ARPA related item
Contact(s) name, title, department: Jamie Hughes, Health Prevention and Coordinated Care Division Director, Public Health Services
Attachments (if applicable): Interlocal agreement between Harris Health System and Harris County for the ACCESS Harris Program