COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

 

DATE:

May 23, 2003

BOARD MEETING DATE:

June 10, 2003

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Brian Zamora, Director, Public Health and Environmental Protection

   

SUBJECT:

Amendment A-4 to the agreement with the California Department of Health Services

Recommendation

Adopt a resolution authorizing:

 
 

1.

The President of the Board to execute amendment A-4 to the agreement with the California Department of Health Services (CDHS).

 
   

2.

The Director of Health Services to execute amendments and minor modifications to this agreement not to exceed $25,000.

 

Background

The State AIDS MGA provides funding for several programs including the Early Intervention Program, AIDS case management, AIDS surveillance, HIV anonymous testing, high risk testing outreach, a youth social marketing campaign, and HIV prevention education services.

 

On August 14, 2001, your Board approved an agreement with CDHS for $4,859,328 for the term July 1, 2001 through June 30, 2004, which funds the above-mentioned services. Your Board approved amendment A-1, decreasing the budget for the Education and Prevention section of the Agreement by $101,763, on May 7, 2002. Amendment A-2 increased the Counseling and Testing section of the Agreement by $37,000 and was approved by your Board on August 20, 2002. The case management section of the agreement was decreased by $26,412 and additional funds in the amount of $4,940 for implementation of the Evaluating Local Interventions information system were included in Amendment A-3 and approved by your Board on October 22, 2002.

 

Discussion

The State Office of AIDS has awarded the AIDS Program $4,940 in additional funds for the Evaluating Local Interventions Project (ELI) to offset start up and implementation costs of the new requirements imposed by the implementation of the ELI Information system for HIV prevention programs.

 

Outcome Measures

 
 

Objective

2003-04 Objectives

   

Number of contacts made with high risk individuals (by AIDS Program and contractor outreach and prevention services teams) who will be counseled and referred for testing

15,000

Number of clients contacted by the outreach intervention and testing referral team who will be referred for HIV testing

1,202

 

Vision Alignment

The contract with the California Department of Health Services 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 improving the quality of life for those living with the disease.

 

Fiscal Impact

This amendment does not alter the term of the original agreement, which is July 1, 2001 through June 30, 2004. The amount of the original agreement was $4,859,328. Amendment A-1 decreased the amount of the agreement by $101,763; amendment A-2 added $37,000 in CDHS funds; amendment A-3 decreased the amount of the agreement by $21,472; and amendment A-4 increases the agreement amount by $4,940 for a total contract amount of $4,778,033. The additional funds for ELI will be included in the recommended budget for Fiscal Year 2003-04. There is no net county cost associated with this amendment.

We are requesting that the Director of Health Services be authorized to sign amendments and minor modifications to the agreement not to exceed $25,000.