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COUNTY OF SAN MATEOInter-Departmental Correspondence |
Health Services Agency |
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DATE: |
February 9, 2004 |
BOARD MEETING DATE: |
February 24, 2004 |
TO: |
Honorable Board of Supervisors |
FROM: |
Margaret Taylor, Director of Health Services |
Brian Zamora, Director, Public Health and Environmental Protection |
SUBJECT: |
Agreement with Community Dental Care Inc., a California Nonprofit Corporation (CDC). |
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Recommendation |
Adopt a resolution authorizing the President of the Board to execute an Agreement with Community Dental Care Inc., a California Nonprofit Corporation. |
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Background |
CDC has provided quality dental services for clients of the San Mateo County AIDS Program (SMCAP) since 1994. A large percentage of AIDS Program clients have major dental problems, which impact an already compromised immune system. Regular dental care is an integral part of the medical care of people with HIV/AIDS, enabling them to obtain maximum nutrition and to avoid sources of infection. SMCAP will be awarded Ryan White CARE Act, Title I funds to provide HIV dental care services for FY 2004-05. A Request for Proposals (RFP) for HIV Dental Services for the period of March 1, 2004 to February 28, 2007, was released in November 2003. Two applicants responded to the RFP. An independent panel reviewed and assessed the proposals submitted. The panel selected CDC to provide these services. |
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Discussion |
The contract provides for dental services two (2) days a week for approximately 100 HIV+ persons. At least one (1) of the two (2) days of service will be at the Willow Clinic site. Payments made under this contract are on a fee-for-service basis. These services assist the AIDS Program in reaching its goal of increasing client self-sufficiency and quality of life. Administration and monitoring of the contract will be performed by existing SMCAP staff. |
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Consistent with contract approval level limitations in County Administrative Memorandum B-1, the Director of Health Services will be authorized to execute amendments and modifications to this agreement, not to exceed $25,000 in aggregate. |
Outcome Measures |
Service2003-04Objective 2003-04Projected Actual2004-05ProjectedPercentage of Community Dental Care clients who will show an improvement in oral health 97% 94%* 95% Percentage of Community Dental Care clients who will report satisfaction with services provided as measured by the contractor's Client Satisfaction Survey96% 93%* 95% *While the measures are projected to fall below objectives, the percent difference is not statistically significant. |
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Vision Alignment |
The contract with CDC 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 dental services to clients of the AIDS Program to improve the quality of life for those living with, or at risk for, HIV/AIDS. |
Fiscal Impact |
The term of the agreement is March 1, 2004 through February 28, 2005. The maximum amount of funding for the agreement is $195,360. The AIDS Program budget for FY 2003-04 includes funds in the amount of $48,840, and the recommended budget for FY 2004-05 will include $146,520. Any ongoing expenditures will be reduced if future funding is not available. Maintenance of County effort is required for all CARE funding which amounts to the net County cost for the AIDS Program for 2003-04 of $373,000. There is no net county cost as a result of this agreement. |