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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health Services Agency
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DATE:
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August 20, 2004
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BOARD MEETING DATE:
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September 14, 2004
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TO:
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Honorable Board of Supervisors
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FROM:
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Charlene A. Silva, Director of Health Services
Lisa L. Mancini, Director of Aging and Adult Services
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SUBJECT:
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Amendment 3 to the Agreements with Catholic Charities of San Francisco, Mills-Peninsula Senior Focus, Inc., Peninsula Volunteers/Rosener House, and City of South San Francisco Adult Day Care Program
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Recommendation
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Adopt a resolution authorizing the President of the Board to execute Amendment 3 to the Agreements with Catholic Charities of San Francisco, Mills-Peninsula Senior Focus, Inc., Peninsula Volunteers/Rosener House, and City of South San Francisco Adult Day Care Program
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Background
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Adult day care provides a structured and therapeutic program of supervised social, recreational, and nutritional services, linking participants with needed supportive services. It also provides respite for family and friends who are the primary caregivers of the program participants. The goal of adult day care is to maintain or improve the well-being of older adults and adults with disabilities and prevent their premature institutionalization.
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In December 2000 Aging and Adult Services (AAS) issued a competitive Request for Proposals (RFP) for adult day care for a four-year term July 1, 2001 through June 30, 2005. The selection of these four providers for adult day care services was based on the results of the RFP.
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On June 19, 2001 your Board approved an agreement with three of the above providers for the provision of adult day care services in the collective amount of $115,000. The term of the agreement was July 1, 2001 through June 30, 2002. Based on an increased need in central county the fourth provider was added on December 18, 2001 with the same term and no additional funding to the collective amount. This fourth provider was selected based on the results of the original RFP.
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Your Board approved the first amendment to the provider agreements on July 9, 2002, extending the term to reflect the RFP term of July 1, 2001 through June 30, 2005. Amendment 1 also established the contract amount of $120,000 collectively for fiscal year 2002-03. Provider agreements are amended annually to reflect available funding.
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On September 9, 2003 your Board approved the second amendment adding additional funding in the amount of $120,000 collectively for fiscal year 2003-04.
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Discussion
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Amendment 3 establishes the contract amount of $120,000 collectively for adult day care services for fiscal year 2004-05. The source of funding is through the Multipurpose Senior Services Program (MSSP) of the California Department of Aging (CDA). This amount is included in the Aging and Adult Services’ recommended budget for fiscal year 2004-05.
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Contractors’ operating expenses, including meals, transportation and insurance costs, have risen substantially. This amendment includes an increase in the rate from $30 to $35 for each unit of service (one unit equals one day of service; a day is six hours). The last increase in rates was approved in 2001. The funding from CDA will meet the costs of the new rate without any impact on the County General Fund.
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Two performance measures were developed to help determine MSSP’s success at meeting its goal of assisting clients to delay or avoid institutionalization. The first measure looks at the average number of months clients are served by MSSP. This represents the amount of time the program has succeeded in avoiding institutionalization. The second performance measure looks at the number of clients who terminate from the program because of institutionalization. The lower this percentage, the better the program is doing at meeting its goal of avoiding institutionalization. The estimate for 2004-2005 is based on the average number of case terminations due to institutionalization over the past two years.
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Performance Measures
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Actual
FY 2002-03
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Actual
FY 2003-04
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Estimated
FY 2004-05
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Average number of months that MSSP services prevented institutionalization
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33
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34
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35
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Number and Percent of case terminations due to institutionalization
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23/36%
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20/33%
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22/35%
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County Counsel has reviewed and approved these amendments as to form and content.
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Vision Alignment
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The adult day care program keeps the commitment of ensuring basic health and safety for all and goal number 8: People- Help vulnerable people— the aged, disabled, mentally ill, at-risk youth and others—achieve a better quality of life. Funds for adult day care programs will contribute to this commitment and goal by providing clients with adult day care services.
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Term and Fiscal Impact
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The term of the agreements is July 1, 2001 through June 30, 2005 for three contractors and January 1, 2002 to June 30, 2005 for one contractor who was added later. The maximum the County shall be obligated to pay collectively to all contractors for these agreements for fiscal year 2004-05 under a single resolution is $120,000. The total contract amount for the term of this agreement is $475,000 collectively. These funds are provided through the MSSP agreement with CDA and are included in AAS’s recommended budget for 2004-2005. There is no Net County Cost.
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