C O U N T Y O F S A N M A T E O

County Manager's Office

Date: April 14, 2003

Board Meeting Date: April 22, 2003

TO: Honorable Board of Supervisors

FROM: John L. Maltbie, County Manager

SUBJECT: County Shared Vision 2010 Progress Report and Departmental Performance Report

Recommendation

1. Accept the Shared Vision 2010 County Progress Report for 2002; and

2. Accept the FY 2002-03 Mid-Year Performance Report for County Departments

Background and Discussion

The Board of Supervisors initiated a "visioning process" three years ago to give San Mateo County residents the opportunity to define a shared vision for the future of the County, asking the questions: What will the county be like in a decade? What do we want it to look like? A series of community forums were held in March/April 2000, and small group discussions and on-line voting took place over a six-month period. The Shared Vision 2010 Report was issued in 2001 inclusive of 10 commitments and 25 goals within the framework of People, Place, Prosperity and Partnerships. Progress Measures were included for each set of commitments and goals to monitor the success of efforts leading to the achievement of the Shared Vision goals.

The County implemented Outcome-Based Management (OBM) throughout all its programs and services beginning in 2000 to align service delivery, program resources and outcomes to the County's goals. The Mid-Year Performance Measures Report for FY 2002-03 has been included in this document. It includes historical, current and target data for the performance measures approved by the Board as part of the budget process. Of the performance data reported in the How Well We Do It (service quality) and Is Anyone Better Off (outcomes) performance measures categories, 69% showed either maintained or improved performance. There are a number of measures that still require the development of baseline data, and it is anticipated that the level of performance among programs will continue to be affected as a result of ongoing budget reductions.

Organization of Report

This report is organized in three sections as follows:

1. 2002 Shared Vision Progress Report (Summary) - For each group of Commitments and Goals, this summary report shows overall progress ratings as well as ratings for individual Progress Measures.

2. 2002 Shared Vision Progress Report (Detail) - In addition to the summary above, this detail report provides narrative for each Progress Measure describing level of progress from the previous reporting period, comparing County progress to local, state or national benchmarks if available, and highlighting specific actions County departments are taking to improve performance toward Shared Vision Commitments and Goals.

3. 2002-03 Mid-Year County Departmental Performance Report (Detail) - This detail report shows historical and mid-year status of all performance measures tracked by individual programs within County departments, as well as overall progress at the department or agency level. Data for these measures are used by departments in the annual preparation of their program plans and budgets, and have been developed as part of Outcome-Based Management to align with and show progress toward the Shared Vision Commitments and Goals.

Methodology for Indicating Progress

Data for the Progress Report were collected from existing sources, such as the 2002 Children's Report Card, the 2001 Community Assessment: Health and Quality of Life in San Mateo County Report, the 2002 Sustainable San Mateo County Indicators Report, and Program Plans prepared by County departments.

It is important to note that some of the reported data from sources used in this report covered time periods before 2002 depending on the availablity of current data and whether there was a normal one to two year lag between data availability and actual reporting of the data. A rating was given for overall progress for each group of Commitments and Goals as well as for individual Progress Measures. The ratings are as follows:

Generally Positive Progress - indicates overall progress from the previous reporting period when looking at both performance at the county level as well as in comparison to local, state or national benchmarks.	+
Passable - indicates minimal /no progress or mixed progress; for example, lack of or negative progress from the previous reporting period at the county level but positive in comparison to benchmarks (voter turnout), or, mixed progress when looking at individual jurisdictions in the county (crime rate by jurisdiction).	_
Needs Improvement - indicates lack of or negative progress at both the county level as well as in comparison to identified benchmarks (see below).	-
Insufficient Data - only one year of data available, data development in progress or no reportable data currently available.	i

Areas Needing Improvement

Overall progress was satisfactory in almost all commitments/goals with the exception of the following. A number of efforts are underway to make improvements in many of these areas, but it is important to note that progress might not be seen in the short-term given current economic conditions and funding limitations, and that the County organization has either indirect or limited impact in some of these areas:

IMPROVEMENT AREAS

CURRENT EFFORTS

Residents Who Volunteer

San Mateo County = 6.9 times/year

Nationwide = 9.5 times/year

Annual trends in San Mateo County volunteerism from a single source were limited. There is general agreement from the following sources that volunteerism is an area in need of improvement when compared to nationwide averages.

The original Shared Vision 2010 Report used survey responses from 1,505 residents in the Silicon Valley (Santa Clara, San Mateo and Alameda counties). These residents reported volunteering about 6.9 times per year, 27% lower than the national average of 9.5 times annually. In the 2001 Community Assessment - Health and Quality of Life in San Mateo County Report issued in May 2002, a survey of 1,050 adults in San Mateo County showed that 58% volunteered time to a charitable cause in the past year, averaging 96 hours each. Volunteerism is highest among Coastside residents, those with post-secondary education, those aged 40 to 64, those earning 400% of the poverty level, women and Caucasian respondents. The report also cited another study that found giving as a percent of household income is 31% less than nationwide.

Child Care Availability

2002 = 25,911 formal spaces

2000 = 26,322 formal spaces

San Mateo County has the highest percentage in the State of children under age 6 with working parents. According to the 2002 San Mateo County Children's Report, the total number of formal spaces available to serve the estimated 102,575 children ages 0-13 needing care was 25,911, down by 411 spaces since the first Children's Report. The Child Care Action Campaign launched in September 2001 established the target of a 10% increase in the supply of licensed child care over five years. To date a number of initiatives both related and unrelated to this campaign have raised awareness, with some raising funds including:

· SaMCARES Workforce Recruitment and Retention ($2.9 million)

· Peninsula Quality Fund for Early Childhood Facilities ($215,000)

· Child Care Facilities Expansion Fund ($1.8 million for startup costs)

San Mateo County also offers on-site child care for its employees in the Redwood City campus, as well as through Palcare in Burlingame. Even with these and other efforts, San Mateo County is still significantly behind in meeting the demand for child care.

Children Immunized by Age Two

San Mateo County = 73%

Healthy People 2010 = 90%

The Healthy People 2010 target is to increase the percentage of toddlers aged two who are up to date on their immunizations to 90% or more. Immunization rates in the County have remained relatively stable from 1996 to 2000, averaging 73%, still well below the Healthy People 2010 target. According to data from the 2001 Community Assessment: Health and Quality of Life in San Mateo County report, South County shows the lowest proportion of children immunized at age two (66%), compared to North County (74%), Coastside (75%), and Mid-County (81%).

The County's Immunization Assistance Program (IAP) staff in Public Health are currently involved in the following activities to improve immunization coverage in San Mateo County:

_ Sponsoring a Countywide training for nurses on vaccine administration, storage and handling

_ Working with the Department of Hospital and Clinics and Health Services divisions to improve immunization delivery by providing vaccine and patient information, and removing as many barriers to service as possible

_ Offering additional immunization clinics in under-served areas

_ Providing trainings to family day care providers on immunization requirements and documentation

_ Hosting at least one immunization teleconference for public and private sector medical providers

_ Working with WIC (Women, Infant and Children) staff to educate parents about the immunization schedule and assessing their children's immunization records for up-to-date status

_ Supporting the development of San Mateo County's part of the Bay Area Regional Immunization Registry

Residents Without Health Insurance

(2001 Baseline)

68,100 uninsured adults and children eligibile for Healthy Families/Medi-Cal

Based on industry surveys and reports citing a 10% uninsured rate for children and 7% for adults, an estimated 68,100 adults and children in the county were eligible for Medi-Cal or Healthy Families in 2001. In addition, about 17,000 uninsured children live in San Mateo County. Of these, 14,600 reside in households earning an annual income up to 400% of the Federal Poverty Level (FPL) who are eligible for Medi-Cal, Healthy Families or the new Healthy Kids program and who are not already enrolled in an employer-sponsored insurance program. These estimates represent baseline data for 2001.

Current Efforts

During the period of April 2001 through October 2002, enrollments in Healthy Families and Medi-Cal increased by 1,900 and 12,154 respectively. This represents a 57% increase in Healthy Families enrollment and 28% increase in Medi-Cal enrollment. Increased outreach and enrollment efforts, primarily made possible by a federal Community Access Program (CAP) grant in Health Services, have significantly contributed to the number of new enrollments. The new Healthy Kids program established by the Children's Health Initiative (CHI) is currently underway to enroll those children in families earning up to 400% of the Federal Poverty Level (FPL) and ineligible for the existing Medi-Cal and Healthy Families programs. CHI covers uninsured families earning up to 400% of FPL ($61,000 for a family of three) because the most recent County specific cost of living data finds that a family must earn above this income level to raise its children self-sufficiently.

Housing Affordability

2002 = 19% of households can afford

2001 = 21% of households can afford

As of November 2002, only 19% of households in San Mateo County could afford to purchase a median-priced home, down from 21% the previous year. This is lower than the Bay Area at 22% affordability and the State at 30% affordability. The County along with San Francisco, Contra Costa, Monterey and Marin counties is one of the least affordable counties in the State. The Board has allocated $3 million in County funds to the Housing Endowment for San Mateo County. It is anticipated that a Joint Powers Authority will be established with a goal of raising $10 million in public and private funds annually for ten years

Income to be Self-Sufficient

2002 Unemployment = 5%

2001 Unemployment = 2.9%

2002 Median Income = $77,500

Needed to Live in County = $70,315 or $33.81 per hour

Average Enty Wage of HSA Customer $15.40 per hour or $32,032 annually

The 2002 median income in San Mateo County for a family of three was $77,500. The income needed to live in the county for a family of three (parent, infant and school-age child) is estimated at $70,315 or $33.81 per hour. This includes rent, childcare, transportation, food, utilities, clothing and healthcare. The average entry wage for Human Services Agency customers is $15.40 per hour in FY 2001-02. While this represents less than half what is needed to live in the county for a family of three, the figure on average wage at placement includes many customers who did not have dependent children (youth and single adults). Additional grant funding has been obtained by Human Services and a number of community partners to provide additional services to unemployed and low-income workers, and to facilitate job placements in higher growth sectors with career ladders.

Unemployment increased from 2.9% in 2001 to 5% in 2002, making it difficult to place customers in higher-paying jobs. Given the current state of the economy, significant improvements in this area are not anticipated in the short-term.

Data Development Needs

There was either no current available data or insufficient data for a number of progress measures (marked with indicator "i"). These measures need to be reviewed or re-evaluated to determine if methodology and reporting procedures can be developed in order to report on future progress on an annual basis

Vision Alignment and Fiscal Impact

There is no fiscal impact related to accepting these reports.

The Shared Vision 2010 Progress Report and Mid-Year County Performance Report keep the commitments and goals of Responsive, Effective and Collaborative Government and Leaders Work Together Across Boundaries to Preserve and Enhance Our Quality of Life. These reports provide information related to the Countywide and County Government progress toward the goals identified during the visioning process. The allocation or re-allocation of resources based on the level of progress shown in this report could have significant impact toward the desired level of future progress.