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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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September 30, 2004
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BOARD MEETING DATE:
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October 19, 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
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Brian Zamora, Director, Public Health and Environmental Protection
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SUBJECT:
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Agreement with the City and County of San Francisco for Ryan
White Comprehensive AIDS Resources Emergency (CARE) Act
Funds for Fiscal Year 2004-05
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Recommendation
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Adopt a resolution authorizing the President of the Board to execute an agreement with the City and County of San Francisco for acceptance of Ryan White CARE Act funds for Fiscal Year 2004-05.
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Background
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The CARE Act provides emergency assistance to eligible metropolitan areas (EMAs) that are disproportionately affected by the HIV epidemic by making financial assistance available for the development, organization, coordination, and operation of more effective and cost efficient systems to deliver essential services to individuals and families with HIV disease.
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Discussion
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CARE Act funds come to the San Mateo County AIDS Program (SMCAP) 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, 2004 through February 28, 2005 is $2,226,607. Contract was received from San Francisco the third week of September 2004.
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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
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Service
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2003-04
Actual
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2004-05
Projected
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Percentage of AIDS Program clients who rated the overall services received as good or excellent
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97%
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98%
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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
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94%
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95%
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Percentage of HIV Food Services Program clients rating quality of overall services provided as good or excellent
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97%
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98%
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Percentage of continuing care clients registered in the Community Dental CARE program whose oral health will be improved
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96%
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98%
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Vision Alignment
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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
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The term of this agreement is March 1, 2004 through February 28, 2005. The total amount of the agreement is $2,226,607. Revenues and expenses associated with this agreement were included in the last four months of the approved AIDS Program budget for FY 2003-04 ($742,202) and the first eight months of the approved AIDS Program budget for FY 2004-05 ($1,484,405). All funding for this contract, including administrative costs, is provided through the CARE Act grant. A maintenance of County effort is required for all CARE funding, which amounts to a net County cost for the AIDS Program of $373,000 during the term of this agreement.
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