COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

DATE:

November 24, 2004

BOARD MEETING DATE:

December 14, 2004

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Nancy J. Steiger, Chief Executive Officer

SUBJECT:

Agreement with On-Site Dental Care Foundation to Provide Dental Services to San Mateo County’s Homeless Population

Recommendation

Adopt a Resolution authorizing the execution of an Agreement with Onsite Dental Care Foundation to provide dental services to San Mateo County’s homeless population, for the term of November 1, 2004 to October 31, 2005, in the amount of $198,575, no net county cost.

Vision Alignment

Commitment: To Ensure Basic Health and Safety for All.
Goal 5: Provide residents access to healthcare and preventive care.

This Agreement contributes to this goal by reducing the obstacles that exist in providing services to Homeless individuals. Most of these obstacles will be eliminated and homeless individuals will have better access to dental services.

Performance Measures

Measure

2004-05 Projected

2003-04 Actual

After treatment, homeless individuals will have no decay or periodontal disease.

80%

79%

Background

San Mateo Medical Center was awarded the Health Care for the Homeless (HCH) grant from the federal Bureau of Primary Health Care of the Health and Resource Services Administrative to provide primary care, dental care, outreach, health education, case management, and supportive services to the San Mateo County’s homeless population.

HCH is designed to assist homeless adults, families and youth with access to and use of the San Mateo Medical Center’s continuum of primary care, dental care, mental health, substance abuse, and other support services.

Discussion

In Winter 2004, the HCH Advisory Committee developed a strategic plan for the HCH Program. The goals of the Strategic Plan include: 1) Serve a large portion of the homeless population who are on the street or in shelters; 2) Provide one or more of the following services to homeless individuals: primary care services, dental care services, substance abuse and mental health treatment; 3) eliminate barriers and provide better access to services by outreaching to homeless individuals.

A Request for Proposal process followed and based on the priorities of the strategic plan, the HCH Advisory Committee chose to continue to fund five current contractors and provide funding to one new agency, Onsite Dental Care Foundation (OSDCF), which will provide dental care services to 455 homeless individuals.

County Counsel and Risk Management have both reviewed and approved this Agreement.

Fiscal Impact

The term of this Agreement is November 1, 2004 through October 31, 2005. The maximum amount of this Agreement is $198,575. All funds for this Agreement are provided by the HCH grant. Expenditures and grant revenue for this Agreement are included in San Mateo Medical Center’s 2004-05 Adopted Budget. There is no Net County Cost.

1.

General Description of RFP

Serve the homeless population by providing outreach and access to primary care services including dental care services, substance abuse and mental health services.

2.

List key evaluation criteria

1) serve a large potion of the homeless population
2) provide primary care, and/or dental care services,

and or substance abuse /mental health services
3) eliminate barriers and provide access to services by
outreaching to homeless individuals

3.

Where advertised

No

4.

In addition to any advertisement, list others to whom RFP was sent

The RFP was sent to all organizations that serve the homeless population including community-based organizations, county agencies, and medical facilities.

5.

Total number sent to prospective proposers

76

6.

Number of proposals received

11

7.

Who evaluated the proposals

In order to avoid conflicts of interest and produce the most objective review, the following individuals were chosen to serve on the RFP Review Committee: Trudy Brady, HCH Advisory Committee/Mills Peninsula Medical Group; Allen Meyer, Director, San Francisco Community Clinic consortium HCH; G.G. Greenhouse, Director, Alameda County Health Care for the Homeless; Christine Sippl, Director, Santa Cruz County Health Care for the Homeless; Janet McBride, Director, Gardner Family Health Network HCH Program.

8.

In alphabetical order, names of proposers (or finalists, if applicable) and location

Free At Last

1796 Bay Road

East Palo Alto, CA 94303

El Concilio of San Mateo County

1419 Burlingame Ave, Suite N

Burlingame, CA 94010

InnVision Clara-Mateo Alliance

795 Willow Road, Building 323 D
Menlo Park, CA 94025

On-Site Dental Care Foundation

1720 S. Amphlett Blvd

San Mateo, CA 94402

Ravenswood Family Health Center

1798 A Bay Road

East Palo Alto, CA 94303

San Mateo Mental Health Division

225 W 37^th Avenue

San Mateo, CA 94403

San Mateo County Public Health Division
225 37^th Avenue

San Mateo, CA 94403

Shelter Network

1450 Chaplin Avenue 2^nd Floor

Burlingame, CA 94010

Sitike Recovery

306 Spruce Ave

South San Francisco, CA 94080

Sonrisas Community Dental Clinic

P.O. Box 3509

Half Moon Bay, CA 94019

Tooth Mobile

1659 Scott Blvd. # 4

Santa Clara, CA 95050