COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

DATE:

November 8, 2004

BOARD MEETING DATE:

December 7, 2004

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Four-fifths vote

TO:

Honorable Board of Supervisors

FROM:

Nancy Steiger, Chief Executive Officer

SUBJECT:

Appropriation Transfer Request

Recommendation

Approve an Appropriation Transfer Request (ATR) Recognizing

Unanticipated Revenue for the Health Care for the Homeless (HCH)

Program Increasing Intergovernmental Revenues ($42,000),

Background

San Mateo Medical Center (SMMC) has administered a Bureau of Primary Health Care (BPHC) Health Care for the Homeless (HCH), Section 330(H), Public Health Services Act grant since 1995. The HCH grant appropriation is $1,410,933 per year. HCH grant funding is currently used to provide health care services to homeless adults, adolescents and children at Willow and Fair Oaks same day clinics, and through agreements with the Public Health Mobile Van, Mental Health Division, Ravenswood Family Health Center, On-Site Dental Care Foundation, and Shelter Network. In addition to providing healthcare to San Mateo County’s homeless population, the 330-(H) grant qualifies SMMC’s outpatient clinics for Federally Qualified Health Centers (FQHC) status. FQHC status allows SMMC to claim cost-based reimbursement for outpatient clinic services.

Discussion

In October 2004, the BPHC awarded the HCH Program a base increase of $21,000 for fiscal year 2003-04 and another increase of $21,000 for fiscal year 2004-05 for a total of $42,000. A portion of this additional funding will be allocated to consultant fees for the HCH Program ($18,000) and the other portion will be allocated to the Public Health Division to subsidizes pharmaceutical costs for the Mobile Health Clinic. Consultant fees are for grant writing and program development (Roger Way).

Vision Alignment

This added funding for the Health Care for the Homeless Program keeps the commitment of Ensuring Basic Health and Safety for All and goal number 8: Help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others – achieve a better quality of life. The ATR contributes to this commitment and goal, as it will allocate $42,000 to the Health Care for the Homeless program for primary care and healthcare development with an award from the BPHC.

Fiscal Impact

The ATR recognizes the unanticipated revenue $42,000 to the HCH Program for primary care and healthcare development with an award from the BPHC. There is no net county cost as the expenses are reimbursed through the BPHC HCH grant. The on-going HCH funding will be included in the FY2005-06 and subsequent budgets.