Inter-Departmental Correspondence

Health Services Agency



May 16, 2002


June 4, 2002



Honorable Board of Supervisors


Margaret Taylor, Director of Health Services

Brian Zamora, Director, Public Health


Agreement with AIDS Community Research Consortium (ACRC)


Adopt a resolution authorizing the President of the Board to execute an agreement with AIDS Community Research Consortium (ACRC) to provide case management services at the Willow Clinic, health education and risk reduction services for San Mateo County AIDS Program Early Intervention Program clients, health education and risk reduction services for Hepatitis C (HCV) clients, food services to persons with HIV disease, and rental of a portion of the contractor's premises.



In June 1999 a Request for Applications (RFA) was issued for case management services HIV+ clients of the Willow Clinic. Three agencies submitted applications. A Review Panel met in August 1999, and unanimously recommended that ACRC be awarded the contract for these services. Your board subsequently approved a contract for these services.


In October 1999, the AIDS Program received an augmentation to its state-funded Early Intervention Program (EIP) for HIV+ clients. One of the program components required by the state Office of AIDS is Health Education. The AIDS Program decided to try a new approach to the provision of health education services by seeking proposals from the community and issued a Request for Proposals (RFP) for these services in October 1999. Two agencies responded, and after a review process, the AIDS Program awarded the contract for health education services to ACRC. Subsequent to a contract amendment approved by your Board, ACRC has been offering EIP clients a sixteen-session HIV workshop called "Living Now," which covers the requirements contained in the state's EIP protocols for health education.

In December 2000 an RFP was issued for the provision of HIV food services. Only one agency, ACRC, responded to this RFP. After review of the proposal by AIDS Program staff, a contract for these services was approved by your Board as of March 2001. Since 1998 the AIDS Program has had a rental agreement with ACRC to use a portion of their space for volunteer-led and AIDS Program staff supervised emotional support groups for persons with HIV. As of March 2002, the AIDS Program, in collaboration ACRC, received an $80,000 grant from the state to provide health education activities concerning HCV.



ACRC has been successfully providing case management services for persons with HIV since 1999, HIV education and risk reduction since 2000, HCV education and risk reduction since 2000 and HIV food services since 2001. In addition, a portion of their premises has been used to provide HIV support groups since 1998. Over the years, they have helped numerous clients maintain stable lifestyles, enabling them to keep their medical appointments and adhere to increasingly complex medication regimens. This agreement will allow them to continue to provide services to persons with HIV and outreach to persons with HCV without interruption. Requests for proposals (RFPs) were issued for a three year period for the services provided to clients. Contracts are awarded annually to reflect available funding from diverse sources. This contract includes some services that are due now for a new RFP. The AIDS Program will be issuing new RFPs during the course of the next year.The rental agreement with ACRC has been reviewed by the County Manager's Real property Services Division.








Percentage of EIP clients demonstrating basic understanding of the health education concepts presented in the Living Now class as evidenced by progress notes



Percentage of clients reporting improved nutrition due to receipt of food services



Percentage of people with Hepatitis C who are receiving outreach interventions will demonstrate a reduction in or maintenance of behaviors which transmit Hepatitis C to others, as measured on pre/post knowledge and behavior surveys.



*This measure refers to the new, Living with Hepatitis C group educational program, portion of the contract; therefore there is no data to report.


Vision Alignment

The contract with ACRC keeps the commitment of ensuring basic health and safety for all and goal number 5: Residents have access to healthcare and preventive care. It also keeps the commitment of goal number 8: Help vulnerable people - the aged, disabled, mentally ill, at-risk youth and others - achieve a better quality of life. The contract contributes to these commitments and goals by preventing HIV and Hepatitis C and improving the quality of life for those living with these diseases.


Fiscal Impact

The term of the agreement is from March 1, 2002 through February 28, 2003. The maximum amount of funding for this agreement is $359,500: $49,500 for case management, $55,000 for health education and risk reduction, $220,000 for HIV food services, $30,000 for outreach and support services for Hepatitis C clients; and $5,000 for rental of premises. Funds for the case management services are provided through Housing Opportunities for People with AIDS (HOPWA); funds for the health education & risk reduction classes are available through the state Office of AIDS; funds for the food program are from the Ryan White Care Act, Title I (CARE); funds for the outreach and support services for Hepatitis C clients are from the state Office of Communicable Disease and Control; and funds for the rental of premises are from the CARE grant. Maintenance of County effort is required for all CARE funding which amounts to the net County cost for the AIDS Program for 2000-01, i.e., $308,419.

Exhibit A


General Description of RFP

HIV Food Program, EIP Risk Reduction Program, AIDS Case Management


List key evaluation criteria

_ Project Description

_ Applicant Capability

_ Coordination of Effort and Community Support

_ Work Plan

_ Budget/Budget Justification

_ Project Need Demonstrated


Where advertised

San Mateo Times


In addition to any advertisement, list others to whom RFP was sent

All CBO HIV providers, all County food programs


Total number sent to prospective proposers

Approximately 25


Number of proposals received

EIP Risk Reduction: 2 proposals

AIDS Case Management: 3 proposals

HIV Food Program: 1 proposal


Who evaluated the proposals

EIP Risk Reduction: Community representatives and staff

AIDS Case Management: Community representatives and staff

HIV Food Program: Staff


In alphabetical order, names of proposers (or finalists, if applicable) and location

EIP Risk Reduction: ACRC and El Concilio

AIDS Case Management: ACRC, ELLIPSE, and Mental Health Association

HIV Food Program: ACRC