Department: Public Health Services
Department Head/Elected Official: Barbie L. Robinson, MPP, JD, CHC ─ Executive Director
Regular or Supplemental RCA: Regular RCA
Type of Request: Financial Authorization
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWDBE Contracted Goal (if applicable): N/A
MWDBE Current Participation (if applicable): N/A
Justification for 0% MWDBE Participation Goal: N/A - Goal not applicable to request
Request Summary (Agenda Caption):
title
Request for review and approval of the revised proposal to fund a Mobile Health Expansion Strategy to address health disparities in Precincts 1, 3, and 4.
end
Background and Discussion:
In October of 2023, Commissioners Court directed Harris County Public Health (HCPH) to develop recommendations for spending $3.3 million to address health disparities and deserts in Precincts 1, 3, and 4. After a review of relevant community indicators and feedback from Precinct offices, HCPH identified healthcare access, nutrition, and animal control as priority issues to address. HCPH concluded an expansion of mobile health programming would most positively impact these issues by reducing health disparities, removing geographic inequities in service delivery, and efficiently delivering services. After HCPH received feedback on the initial proposal at the December 19, 2023, Commissioners Court meeting, HCPH revised the proposal to ensure that all precincts receive the same mobile health services, targeting the areas of highest need for these services within each precinct. To meet the identified needs, HCPH recommends Precincts 1, 3, and 4 each invest $1.1 million in the expansion of HCPH’s medical, dental, animal control, and nutrition mobile health services to positively impact healthcare access, food security, and malnutrition, and animal control in each precinct. Precinct 2 is not included in this set of recommendations as the Court directed HCPH to look at programming options for Precincts 1, 3, and 4, given that Precinct 2 opted to fund mobile health pods outside this proposal's scope.
Expected Impact:
Through the expansion strategies outlined in the proposal, HCPH aims to address healthcare access, food insecurity, and animal control needs in Precincts 1, 3, and 4 by increasing the total number of people served per HCPH mobile program. In addition to serving more individuals in Harris County vulnerable populations, the expansion of HCPH mobile health services will contribute to the following outcomes:
• Increase geographic equity for where critical HCPH services are provided
• Increase awareness and utilization of HCPH medical, dental, animal control, and nutrition services in priority populations
• Strengthen existing partnerships and build new partnerships
• Strengthen HCPH’s role as a trusted source of information and services
• Reduce barriers to healthcare access by meeting people where they are and when they can seek services
• Improve department-wide strategies for service deployment through coordination and additional resources
Alternative Options:
N/A
Alignment with Goal(s):
_ Justice and Safety
_ Economic Opportunity
_ Housing
X Public Health
_ Transportation
_ Flooding
_ Environment
_ Governance and Customer Service
Prior Court Action (if any):
|
Date |
Agenda Item # |
Action Taken |
|
12/19/2023 |
355 |
Precincts 1, 3, and 4 requested revisions to the proposal to ensure each precinct invests an equal $1.1 million and expect to receive approximately the same outputs for the number of people reached and type of mobile health services provided per precinct. |
Location:
Address (if applicable): N/A
Precinct(s): Precincts 1, 3, & 4
|
Fiscal and Personnel Summary |
|
Service Name |
Public Health Services |
|
|
|
Current Fiscal Year Cost |
Annual Fiscal Cost |
|
|
Labor |
Non-Labor |
Total |
Recurring Expenses |
|
Funding Sources |
|
|
Existing Budget |
|
|
|
|
|
1000 - General Fund |
$1,227,065.04 |
$772,934.96 |
$2,000,000 |
$4,400,000 |
|
|
$ |
$ |
$ |
$ |
|
|
$ |
$ |
$ |
$ |
|
Total Current Budget |
$1,227,065.04 |
$772,934.96 |
$2,000,000 |
$4,400,000 |
|
Additional Budget Request (Requires Fiscal Review Request Form) |
|
|
|
$ |
$ |
$ |
$ |
|
. |
$ |
$ |
$ |
$ |
|
|
$ |
$ |
$ |
$ |
|
Total Additional Budget Request |
$ |
$ |
$ |
$ |
|
Total Funding Request |
$1,227,065.04 |
$772,934.96 |
$2,000,000 |
$4,400,000 |
|
Personnel(Fill out section only if requesting new PCNs) |
|
|
Current Position Count for Service |
- |
- |
- |
- |
|
Additional Positions Request |
- |
- |
- |
- |
|
Total Personnel |
- |
- |
- |
- |
Anticipated Court Date: April 23, 2024
Anticipated Implementation Date (if different from Court date): April 23, 2024
Emergency/Disaster Recovery Note: Not an emergency, disaster, or COVID-19 related item
Contact(s) name, title, department: Brandon Maddox, MS, PMP, Director of the Office of Planning and Innovation, Public Health Services
Attachments (if applicable): Mobile Health Expansion Full Proposal, Mobile Health Expansion Summary, Budget