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  County Administrator's Report     14. 23.    
BCC Regular Meeting Budget & Finance Consent  
Meeting Date: 05/17/2018  
Issue:    Supplemental Budget Amendment #111 - District 1 Medical Examiner Opioid Examiniation Funds
From: Stephan Hall
Department: Asst County Administrator  
CAO Approval:

RECOMMENDATION:
Recommendation Concerning Supplemental Budget Amendment #111 - Stephan Hall, Budget Manager, Management and Budget Services

That the Board take the following action:

A. Adopt the Resolution approving Supplemental Budget Amendment #111, Other Grants and Projects Fund (110) in the amount of $6,792, to recognize direct supplemental funding from the State of Florida Department of Health Division of Emergency Preparedness & Community Support, and to appropriate these funds for the Florida Enhanced State Opioid-Involved Overdose Surveillance (FL-ESOOS) Program.  The District 1 Medical Examiner will be responsible for providing increased comprehensive and specialized toxicology testing and reporting their findings back to the Florida Department of Health.  The State will reimburse the County for the testing provided through the Medical Examiner's Office; and

B. Approve the issuance of the necessary Purchase Order to the District 1 Medical Examiner's Office based upon the attached Scope of Work (SOW) provided by the Florida Department of Health.
BACKGROUND:
The Department of Health is seeking to build an enhanced surveillance system and supporting infrastructure that will allow a collaborative and targeted response to address the growing challenge presented by opiate-based drugs, through the timely dissemination of surveillance data to key stakeholders working to prevent or respond to opioid-involved overdoses. The core grant will support resources necessary to 1) leverage Florida’s existing incident-level Emergency Medical Services (EMS) data collection system to calculate selected indicators (any-drug and any-opioid); 2) collect, abstract, and input fatal opioid-involved overdose data from Florida's Vital Statistics Death Certificates and Medical Examiners' reports (for target counties) into the CDC’s National Violent Death Registry System (NVDRS) - State Unintentional Drug Overdose Reporting System (SUDORS) module; and 3) develop and implement dissemination strategies to communicate surveillance data, and associated analyses and reports, to key stakeholders at state and local levels. The grant supplement will support participating Medical Examiner districts that need supplemental funds to 1) perform comprehensive toxicology testing for all suspected opioid-involved overdose deaths; and 2) increase performance of specialized toxicology testing to identify specific fentanyl analogs and other specific synthetic opioids (as needed) in suspected opioid-involved overdose deaths.

This funding is a direct allocation to Escambia County and does not require executed agreements due to the timeline involved. The State wishes to expedite the opioid testing activities for reporting purposes. The SOW begins on April 1, 2018 or on the date the order is issued (whichever is later) and end at midnight on August 31, 2018.
BUDGETARY IMPACT:
This amendment will increase Fund 110 in the amount of $6,792.
LEGAL CONSIDERATIONS/SIGN-OFF:
N/A
PERSONNEL:
N/A
POLICY/REQUIREMENT FOR BOARD ACTION:
Board Policy requires Increases and decreases in funding must be approved by the Board.
IMPLEMENTATION/COORDINATION:
This project will be coordinated with the District 1 Medical Examiner's Office.

Attachments
SBA#111
State Distribution Info Package
District 1 Medical Examiner Scope of Work

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