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INSURANCE NOT REQUIRED return ORIGINAL executed copy WORK MAY PROCEED M-30oCOTC, A-2021-131 CLERK OF COUNCIL CM0(�)(00i55�fa)'F6 MEMORDANDUM OF UNDERSTANDING HEALTH EQUITY AND LITERACY IN OC (HEAL-OC) INITIATIVE This Memorandum of Understanding ("MOU") is hereby made and entered into this 311 day of August, 2021, by and between the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("CITY"), and the Coalition of OC Community Health Centers, Latino Health Access, Orange County Asian & Pacific Islander Community Alliance, and the University of California, Irvine (each individually a "SUBRECIPIENT" and collectively the "SUBRECIPIENTS"). RECITALS: A. In April 2021, the CITY submitted a grant application to the U.S. Department of Health and Human Services ("HHS") for its Minority Health Community Programs to hnprove Minority Health grant funding opportunity. HHS considered the following factors when making recommendations for awarding this grant: applicants serving localities with the highest social vulnerability; applicants with identified Minority Serving Institution partners; and, equitable geographic distribution. B. Working alongside the SUBRECIPIENTS, the CITY successfully submitted a proposal for the Health Equity and Literacy in Orange County ("HEAL-OC") initiative, funded from the Coronavirus Response and Relief Supplemental Appropriations Act, 2021 (P.L. 116-260). The goal of HEAL-OC is to reduce COVD-19 inequities through four objectives: 1. Increase collaborative capacity of the CITY and an established partnership, the Orange County Health Equity COVID-19 Community -Academic Partnership. 2. Develop a Disparities Impact Statement as a framework for designing, implementing and evaluating interventions. 3. Implement a sustainable Health Literacy Plan incorporating National Culturally and Linguistically Appropriate Services (CLAS) Standards. 4. Engage with a Minority Serving Institution (UC Irvine) to conduct rigorous evaluation with periodic reporting and quality improvement recommendations to all partners. C. Through these four objectives, HEAL-OC will work to accomplish the following outcomes: 1. Capacity — Co -develop with community partners and stakeholders a Disparity hnpact Statement as a framework to guide the development, implementation and evaluation of a Population Health Literacy Plan. 2. COVID-19 Education— Develop and implement a Population Health Literacy Plan to deliver linguistically and culturally appropriate COVID-19 education and resources to Latino and AAPI residents in the targeted communities. 3. COVID-19 Services — In the first 6 months, achieve a 25% gap reduction in COVID- 19 testing and vaccination access for 4' quartile Social Vulnerability hidex areas in Santa Ana, compared to the rest of the county. By the end of the project period, achieve a 50% gap reduction and achieve a 50% increase in the proportion ofresidents with a confirmed vaccination in an information system. 4. Health Literacy Surveillance — Establish a Health Literacy Working Group including