Fiscal Note
Funds are included in the 2012 Adopted Public Health Operating Budget. No additional appropriation is required. Continuation for the second and third year, as well as any renewals, will be contingent upon the availability of funds in the adopted operating budgets of future years.
Title
A Resolution authorizing the Board of Health for Madison and Dane County to enter into a contract with Nurse Family Partnership for the implementation of a home visitation program for vulnerable first-time mothers
Body
Preamble:
Nurse-Family Partnership (NFP) is non-profit organization that has developed an evidenced-based home visitation program that focuses on vulnerable mothers pregnant with their first child. Each mother is partnered with a nurse early in the pregnancy and receives ongoing home nurse visits until the child's second birthday. It is in a first pregnancy that there is the best chance to promote and teach positive health and development behaviors between a mother and her baby. Public Health-Madison and Dane County (PHMDC) has been in conversations with NFP for more than two years.
The NFP program would complement existing Perinatal Care Coordination (PNCC) services because it offers clients and nurses the opportunity to work on long-term goals beyond the pregnancy-developing parenting skills, having healthy relationships, and planning their family and work lives. About 55 percent of current PNCC clients would be eligible for NFP. We expect that most NFP clients will come from PNCC referrals.
PHMDC seeks authorization to contract with NFP to purchase this program model and materials. This includes access to proprietary software for data collection, data analysis, the program website, training and support for PHMDC staff to implement the program, and on-site consultation. Start-up costs will be approximately $40,500. Costs in the second and subsequent years will be about $16,000 per year.
Body:
WHEREAS Public Health-Madison and Dane County (PHMDC) has been providing perinatal services that follow at-risk pregnant women from the second trimester of their pregnancy until their child is six months old, and
WHEREAS the data that PHMDC has collected indicates the need for a more intensive approach to vulnerable mothers pregnant with their first child, with the ability to provide longer-term support for the mother and her child, and
WHEREAS PHMDC has reviewed various program models and determined that the Nurse Family Partnership model would be most appropriate to the needs of clients, as well as giving PHMDC data tools to evaluate the effectiveness of services, and
WHEREAS PHMDC will be able to reallocate personnel resources from the current perintal services program to NFP, and
WHEREAS, the cost of start-up for this program in 2012 will be $40,500 and future years program costs are anticipated to be $16,000 per year, and,
WHEREAS, the Board of Health for Madison and Dane County has approved this program and a contract with NFP in Resolution # 2011-16;
WHEREAS sufficient start up funding was included in the 2012 adopted operating budget, and
WHEREAS the Inter-Governmental Agreement creating Public Health-Madison and Dane County requires the department to follow City of Madison purchasing guidelines, and MGO 4.26 requires Common Council approval for any service contract over $25,000 for which the vendor was not selected with a competitive process, and
WHEREAS, the preamble explains PHMDC's selection process and the reasons why PHMDC would like to select NFP to provide these valuable services to the community.
NOW THEREFORE BE IT RESOLVED that the Common Council of the City of Madison authorizes the Board of Health for Madison and Dane County, on behalf of Public Health-Madison and Dane County to enter into a contract with Nurse Family Partnership for the implementation of a home visitation program for vulnerable first-time mothers as described above, and
BE IT FURTHER RESOLVED that the contract be for three years, with additional one-year renewals, all contingent upon funding being appropriated by the City of Madison Common Council and the Dane County Board of Supervisors. The Director of Public Health-Madison and Dane County is authorized to sign the contract.