File #: 21-1645   
Status: Agenda Ready
File created: 11/4/2021 In control: Clark County Board of Commissioners
On agenda: 11/16/2021 Final action:
Title: Approve and authorize the obligation of $1,500,000 in Coronavirus State and Local Government Fiscal Recovery Funds (Fiscal Recovery Funds) to the University Medical Center for the Monoclonal Antibody Treatment Program (the Program) to help outpatients avoid hospitalization and alleviate the burden on the health care system; and authorize the County Manager or her designee to execute the required sub-award agreements. (For possible action)
Attachments: 1. Staff Report, 2. Meeting Handout 111621 Item No. 28.pdf
Date Action ByActionResultAction DetailsMeeting DetailsVideo/Audio
11/16/2021 Clark County Board of Commissioners Approved

Agenda note: DOCUMENT(S) SUBMITTED:
1. Monoclonal Antibody Program (8 pages), submitted by University Medical Center staff

DISCUSSION: Following introduction of the item, the Board was addressed by Mason Van Houweling, Chief Executive Officer of University Medical Center (UMC), who advised that UMC had partnered with the County at the beginning of the pandemic; approaching two million tests and have administered almost 100 thousand vaccines; established a post recovery clinic to treat patients; opened an Express Care Clinic to test travelers and staff at the airport; and introduced the Monoclonal Antibody Program.

Dr. Shadaba Asad, Medical Director of Infectious Disease at UMC, described monoclonal antibodies as laboratory made proteins that can mimic the immune system’s ability to fight off harmful viruses; advised that patients who receive monoclonal antibody treatment may experience a significant decrease in hospitalizations and progression to severe disease; most effective when given within ten days of diagnosis and the onset of symptoms; defined the specific patient criteria for receiving the treatment; and the monoclonal antibody treatment may be administered to high risk patients to prevent the development of COVID-19 infection after being exposed to someone who has the infection.

Jennifer Wakem, Chief Financial Officer at UMC, advised that UMC accommodated approximately 60 patients per month, treating two to six patients per day, one to two nurses provided the treatment, and the facility was open five days per week for four hours; will use the funding to expand the program’s capacity to approximately 400 patients per month, treating approximately 14 patients per day, additional staff will allow the facility to be open seven days per week for 12 hours per day; will be partnering with the Southern Nevada Health District (SNHD) to identify suitable patients for the program; and the outpatient clinic will be located across the street from UMC.

Discussion followed regarding topics including that the patient population was targeted with the help of the SNHD; the treatment program was marketed directly to the patients who were tested for COVID-19, specifically those patients 12 years and older who tested positive for COVID-19; the most effective clinical time window to administer the treatment; additional information was located on the UMC website; and the treatment program was the most cost-effective option for the County, patients, and insurance providers.
Pass Action details Meeting details Video/Audio Video/Audio

CLARK COUNTY BOARD OF COMMISSIONERS

AGENDA ITEM

 

Petitioner:

Jessica Colvin, Chief Financial Officer

Recommendation: 

title

Approve and authorize the obligation of $1,500,000 in Coronavirus State and Local Government Fiscal Recovery Funds (Fiscal Recovery Funds) to the University Medical Center for the Monoclonal Antibody Treatment Program (the Program) to help outpatients avoid hospitalization and alleviate the burden on the health care system; and authorize the County Manager or her designee to execute the required sub-award agreements. (For possible action)

body

 

 

FISCAL IMPACT:

Fund #:

2981.600

Fund Name:

State and Local Fiscal Recovery Funds

Fund Center:

N/A

Funded PGM/Grant:

N/A

Amount:

$1,500,000

Description:

UMC sub-award

Additional Comments:

N/A

 

BACKGROUND: 

Clark County was recently awarded $440 million in Fiscal Recovery Funds under the American Rescue Plan Act (ARPA). These funds provide a substantial infusion of resources to help turn the tide on the pandemic, address its economic fallout, and lay the foundation for a strong and equitable recovery.

At the October 5, 2021 Board of County Commissioners (County Commission) meeting, the County Commission directed staff to explore the cost of expanding monoclonal antibody treatments within the community using Fiscal Recovery Funds. 

Clark County and University Medical Center (UMC) have established the objectives and budget for the expansion of existing monoclonal antibody treatment clinics.  Objectives of the program will include, educating and informing the community of the benefits and availability of the Program, expanding the current capacity of monoclonal antibody treatments though the extension of clinic operating hours, expanding the number of staff, and/or expanding clinic locations. Clark County will provide up to $1,500,000 in Fiscal Recovery Funds to reimburse UMC for any unreimbursed costs of providing monoclonal antibody treatments through December 31, 2022.

The allocation of these funds meets the U.S Treasury compliance requirements in support of the County’s public health response to the pandemic.