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COUNTY OF SAN MATEOInter-Departmental Correspondence |
Health Services Agency |
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DATE: |
June 20, 2002 |
BOARD MEETING DATE: |
July 9, 2002 |
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TO: |
Honorable Board of Supervisors |
FROM: |
Margaret Taylor, Director of Health Services |
Brian Zamora, Director, Public Health and Environmental Protection
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SUBJECT: |
Agreement with City and County of San Francisco for Ryan White
Comprehensive AIDS Resources Emergency (CARE) Act
Funds for Fiscal Year 2002-03 |
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Recommendation |
Adopt a resolution authorizing the President of the Board to execute an agreement with the City and County of San Francisco for the acceptance and expenditure of Ryan White CARE Act funds awarded to the San Mateo County AIDS Program. |
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Background |
The purpose of the CARE Act is to provide emergency assistance to eligible metropolitan areas (EMAs) that are disproportionately affected by the HIV epidemic and to make financial assistance available for the development, organization, coordination, and operation of more effective and cost efficient systems for the delivery of essential services to individuals and families with HIV disease. |
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Discussion |
CARE Act funding comes to the San Mateo County AIDS Program through an agreement with the City and County of San Francisco. The amount of funding San Mateo County receives each year is determined by the San Francisco Ryan White CARE Act Planning Council. The CARE Act award for March 1, 2002 through February 28, 2003 is $2,412,486.
The CARE Act offsets the cost of a total of 16.9 FTE positions providing direct services to clients with HIV/AIDS. These positions provide interdisciplinary staffing for the AIDS Program Clinic, Client Services Unit, Health Outreach Team, and Client Socialization Center. The funds also pay for medical supplies, laboratory costs, office supplies, and the following contract services: dental care, housing assistance, food services, mental health services, substance abuse treatment, medical specialty services, dietitian services, medical transcription, attendant care, and basic client support. |
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Performance Measures |
The services provided by the AIDS Program and its contractors are key components in achieving the AIDS Program's overall goal of increasing the quality of life and level of self-sufficiency for people living with HIV/AIDS. The following outcomes related to this goal were measured in 2001-02 and will be measured again in 2002-03. |
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Service |
2001-02 Actual |
2002-03 Projected |
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Percentage of homeless clients who will be housed by Mental Health Association's HIV Housing Assistance Program within 24 hours of intake |
100% |
100% |
Percentage of continuing care clients registered in the Community Dental CARE program whose oral health will be improved |
97% |
97% |
Percentage of HIV Food Services Program clients rating quality of overall services provided as good or excellent |
88% |
90% |
Percentage of AIDS Program clients surveyed rating services very good or excellent |
96% |
96% |
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Vision Alignment |
The contract with the City and County of San Francisco 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 providing housing, dental, food , and mental health services to improve the quality of life of those living with HIV/AIDS. |
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Fiscal Impact |
The term of this agreement is March 1, 2002 through February 28, 2003. The $2,412,486 in revenue and associated expenses are included in the last four months of the approved 2001-02 AIDS Program budget ($804,162) and first eight months of the recommended 2002-03 AIDS Program budget ($1,608,324). All funding for this contract, including administrative costs, are provided through the CARE Act grant. A maintenance of County effort is required for all CARE funding which amounts to the net County cost for the AIDS Program for 2001-02, i.e., approximately $373,000. |