COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

July 28, 2006

BOARD MEETING DATE:

August 15, 2006

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department

Srija Srinivasan, Director, Health Policy, Planning and Promotion

Lisa Mancini, Director, Aging and Adult Services

SUBJECT:

Agreement with The Lewin Group

RECOMMENDATION:

Adopt a Resolution:

1)

Authorizing the President of the Board to execute an agreement with The Lewin Group to provide consultant services for the period August 1, 2006 through September 1, 2007 for an amount not to exceed $293,750; Net County Cost of $293,750.

2)

Authorizing the Director of Health to execute subsequent amendments and minor modifications not to exceed an aggregate of $25,000 and to make minor changes in the types of services and activities provided under the Agreement.

VISION ALIGNMENT:

Commitment: Ensure Basic Health and Safety for All

Goal 8: Help vulnerable people – the aged, disabled, mentally ill, at risk youth and others achieve a better quality of life

Commitment: Offer a Full Range of Housing Choices

Goal 9: Housing exists for all income levels and all generations of families

Commitment: Redesign our Urban Environment to Increase Vitality, Expand Variety and Reduce Congestion

Goal 10: Public transportation choices that are convenient, affordable, accessible and safe

This Agreement contributes to these commitments and goals by initiating a study to provide the County with information to prepare itself for the needs of the growing and changing senior population.

Performance Measure(s):

Measure

FY 2004-05
Actual

FY 2005-06
Projected

Percent of severely impaired clients who are maintained in an independent setting through case management

95%

90%

BACKGROUND:

In 2005, your Board requested information on health care and housing needs for the current and potential future aging population. This population is fast becoming a priority concern for San Mateo County. By 2020, the population of adults over 60 years of age is expected to increase by 65%, and the fastest growing segment of the aging population will be among adults over 85 years.¹ Service needs are expected to change along with the shift in the population. In addition, there is a noticeable change in both in- and out-migration patterns in San Mateo County. Anecdotal evidence shows that this may be due to current employment opportunities and cost of living; however, we do not have enough information to predict how these changing migration patterns will play out and how they will affect the older adult population profile and their service needs in the years 2020-2030.

DISCUSSION:

The San Mateo County Health Department, as the lead County agency for the wellbeing of the older adult population, is committed to preparing itself for the needs of the growing and changing senior population. A key goal of the Department is to enhance the quality of life and maximize the independence of older adults through a coordinated continuum of services that supports those who choose to and are capable of living in a community setting, yet also provides for those requiring a higher level of care. In order to adequately prepare for the growing older adult population, the Department seeks to accurately predict this population’s future characteristics and needs, in order to sustain a coordinated continuum of care in the years 2020-2030. Key areas of inquiry include health care, housing and transportation. A project steering committee includes representation from the Department of Housing, SamTrans, San Mateo Medical Center and Health Plan of San Mateo, as well as the Health Department.

The agreement has been reviewed and approved by County Counsel and Risk Management. The Contractor has assured compliance with the County’s Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County Ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.

FISCAL IMPACT:

The total obligation under this agreement is $293,750 which is the Net County Cost. The term of this agreement is from August 1, 2006 to September 1, 2007. Funds have been included in the tentatively Adopted FY 2006-07 Budget. Contract obligations for year two will be appropriated in future budgets of the Aging and Adult Services Division.

1.

General Description of RFP

RFP issued to consultants with expertise in demography, projections and the aging population.

2.

List key evaluation criteria

1) Philosophy and Values

2) Applicant’s Experience

3) Program Description

4) Scope, timeline, and cost-effectiveness

5) Cultural Competency

6) Organizational Capacity

7) Evidence of satisfactory accounting and record-keeping

8) Financial Narrative

3.

Where advertised

HPPP Website

4.

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

Timothy Miller and Ronald D. Lee (University of California, Berkeley, Department of Demography), Dr. Darlene Yee-Melichar (Gerontology Programs, SFSU), Ursula M. Bischoff, J.D., M.S.W., Ph.D. and Peggy O'Brien-Strain (SPHERE Institute and Acumen LLC), Shelley Lapkoff, Ph.D. (Lapkoff & Gobalet), Alan M. Garber, MD, PhD, CHP/PCOR (Stanford University), Larry Blitz, Lisa Maria B. Alecxih (Center on Long Term Care, The Lewin Group), Mitch LaPlante, Ph.D. and Charlene Harrington, Ph.D., R.N. (Institute for Health & Aging and Dept. of Social and Behavioral Sciences University of California), Patricia E. Franks (UCSF), Hans Johnson (Public Policy Institute of California), John G. Haaga and Richard Suzman (National Institute on Aging), Dana Goldman (RAND)

5.

Total number sent to prospective proposers

16

6.

Number of proposals received

3

7.

Who evaluated the proposals

Scott Morrow, Health Officer, Health Department

Susan Ehrlich, Medical Director, Ron Robinson Senior Care Center, San Mateo Medical Center

Srija Srinivasan, Director, Health Policy, Planning and Promotion

SaraT Mayer, Health Policy Analyst, Health Policy, Planning and Promotion

Angela Sajuthi, AAI, Health Policy, Planning and Promotion

Lisa Mancini, Director, Aging and Adult Services

Shea Muller, CPS, Aging and Adult Services

Marsha Fong, Program Manager, Aging and Adult Services

Michael Leach, Supervising Epidemiologist, Public Health

Corinne Goodrich, Manager, Special Projects, SamTrans

Duane Bay, Director, Department of Housing

8.

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

HFS Consultants, Oakland, CA

The Lewin Group, Falls Church, VA

RAND Corporation, Santa Monica, CA