20050104_m



COUNTY OF SAN MATEO Inter-Departmental Correspondence
San Mateo Medical Center

DATE:			December 20, 2004
BOARD MEETING DATE:			January 4, 2005
SPECIAL NOTICE/HEARING:			None
VOTE REQUIRED:			Four-fifths Vote

TO:		Honorable Board of Supervisors
FROM:		Nancy J. Steiger, Chief Executive Officer, San Mateo Medical Center

SUBJECT:		Acceptance of a Grant Award from the Peninsula Community Foundation (PCF)

Recommendation
1.	Adopt a resolution accepting a grant from the Peninsula Community Foundation in the amount of $40,000 to fund transportation between San Mateo Medical Center and University of the Pacific Dental School (Pacific).

2.	Approve an Appropriation Transfer Request (ATR) to accept unanticipated revenue ($20,000) for FY2004-05 and appropriate new revenue to Materials Management ($4,500), Personnel Cost ($4,000), Special Medical Services ($10,500) and Information Services Department ($1,000) .

Vision Alignment
Commitment: Ensure basic health and safety for all. Goal 5: Residents have access to healthcare and preventive care. The program contributes to the goal by giving San Mateo Medical Center (SMMC) an opportunity to implement a transportation program making comprehensive dental care available to low-income patients of San Mateo County.
Program Objectives The program has the following objectives: • Establish logistics for a pilot dental program to transport low-income patient. • Work with SMMC physicians to identify and prioritize patients whose dental needs affect health and well-being. • Arrange for comprehensive dental care to interested Denti-Cal recipients and another 200 low-income adults, including establishing transportation arrangements, tracking care received and sharing the information with referring physicians. • Monitor program participation and costs to identify opportunities for program improvement and improved financial sustainability in years 2 and 3.

Background
This new program is being established at SMMC to make available to patients the opportunity to receive comprehensive dental care. Adverse dental conditions affect chronic disease and put patients at increased medical risk. Complete dental care cannot be provided at SMMC. Therefore, collaboration with University of the Pacific Dental School was explored.

Discussion
The Dental Department at SMMC, under the supervision of Dr. Ann Marie Silvestri, submitted a proposal to PCF for this transportation project involving patients from SMMC. On November 30, 2004, Dr. Silvestri was notified that the proposal had been favorably reviewed and that the award would be granted. The County of San Mateo will receive $40,000.00 for the period December 1, 2004 through November 30, 2005, along with the ability to submit for continued funding for the years 2006 and 2007. The primary purpose is to implement a method for low-income patients to receive dental care. Providers for low cost service are very limited in the County of San Mateo. Due to their poor dental condition, patients are placed at an increased risk for diabetes and heart related disorders. These patients often experience increased pain and infection, and their ability to eat is hindered and digestive issues become a health factor. SMMC proposes to increase the access to dental care by providing a dental program whereby care can be arranged. Patients are now being sent for a screening Panorex and then scheduled for a limited visual exam. During this exam, initial dental concerns are addressed. Patients are then referred for extractions at SMMC or scheduled at Pacific for either Full Mouth x-rays or Oral Diagnosis and Treatment Planning. Future plans include SMMC becoming an “Off-Site” campus of Pacific. Patients needing Full Dentures will be scheduled at SMMC. The collaboration of SMMC and Pacific will bring increased dental health to the patients of the County of San Mateo, while enhancing the experience of Pacific students. Working with low income and at risk patients will give future dentists the insight to community needs. The resolution will allow the County to accept the grant award and appropriate the funds that will pay the salary of an extra-help office assistant, provide the transportation to Pacific from SMMC, cover the cost of Full Mouth X-rays and Comprehensive exams for 200 uninsured patients, and any other administrative expenses.

Fiscal Impact
The term of this grant award is from December 1, 2004 to November 30, 2005. Administrative oversight, technical assistance, and project monitoring will be provided by the Dental Department. There is no net county cost associated with this project. The maximum amount of the award is $40,000. San Mateo Medical Center will receive $20,000 for FY2004-05 and $20,000 for FY2005-06. The anticipated additional funding of $20,000 will be included in the Recommended Budget for FY2005-06.

COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

1.

Adopt a resolution accepting a grant from the Peninsula Community Foundation in the amount of $40,000 to fund transportation between San Mateo Medical Center and University of the Pacific Dental School (Pacific).

2.

Approve an Appropriation Transfer Request (ATR) to accept unanticipated revenue ($20,000) for FY2004-05 and appropriate new revenue to Materials Management ($4,500), Personnel Cost ($4,000), Special Medical Services ($10,500) and Information Services Department ($1,000) .

Program Objectives

Background

Administrative oversight, technical assistance, and project monitoring will be provided by the Dental Department. There is no net county cost associated with this project.