COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

DATE:

November 22, 2005

BOARD MEETING DATE:

December 13, 2005

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Nancy J. Steiger, Chief Executive Officer, San Mateo Medical Center

SUBJECT:

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

RECOMMENDATION:

Adopt a Resolution:

A.

Waiving the Request for Proposal (RFP) Process.

B.

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, 2005 to October 31, 2006, in an amount not to exceed $198,575.

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 Measure(s):

Measure

FY 2004-05
Actual

FY 2005-06
Projected

% of homeless individuals successfully treated for decay or periodontal disease.

80%

81%

Dental Services will be provided to 455 homeless individuals. Evaluations will be

performed on each patient before and after treatment to evaluate successful treatment.

BACKGROUND:

San Mateo Medical Center is annually 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.

In Winter 2003, 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), for FY2004-05.

DISCUSSION:

Onsite Dental met its contractual requirements for FY2004-05 and has been approved by the San Mateo Medical Center Board of Directors to provide another year of dental services to homeless individuals for FY2005-06.

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

FISCAL IMPACT:

The term of this Agreement is November 1, 2005 through October 31, 2006. 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 FY2005-06 Adopted Budget. There is no Net County Cost.