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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health Department
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DATE:
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January 17, 2007
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BOARD MEETING DATE:
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February 6, 2007
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Four-Fifths
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TO:
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Honorable Board of Supervisors
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FROM:
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Charlene A. Silva, Director, Health Department
Chris Flatmoe, CIO/Director of Information Services
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SUBJECT:
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Health Department Information Technology Strategic Plan
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RECOMMENDATION:
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Approve an Appropriation Transfer Request (ATR) appropriating $2.2 million from Health Department reserve accounts to cover expenses associated with the Information Technology Strategic Plan.
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VISION ALIGNMENT:
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Commitment: Responsive, effective, collaborative government
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Goal(s): 20. Government decisions are based on careful consideration of future impact, rather than temporary relief or immediate gain.
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This ATR supports the commitment and goal by enabling better program planning and reporting.
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Performance Measure(s):
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Measure
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FY 2005-06
Actual
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FY 2006-07
Target
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Begin reporting from the HCDS
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N/A
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March 2007
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BACKGROUND:
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Your Board accepted the report on the Health Department’s Information Technology Strategic Plan (ITSP) at the meeting of September 20, 2005. That plan included recommended projects and a strategic direction for the Health Department’s automation needs. Key to the strategic direction is the development of the Health Client Data Store (HCDS). The HCDS is a department-wide data store. It will have information on all health clients and will be a source of information for ongoing analysis of services provided by the Department.
The HCDS will contribute to the County’s effort to improve County-wide and cross-departmental reporting. The project will improve the capacity to provide quality program planning and reporting. The original cost estimate for the first iteration of the HCDS was $1.75 million.
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DISCUSSION:
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On June 27, 2006, your Board approved an agreement with Deloitte Consulting to assist with the HCDS project. Since the agreement was approved, a team of County staff and contractors has been working to complete the first iteration of the project by March 2007.
The projected cost of the first iteration of HCDS is $2.07 million, which is an increase over the preliminary 2005 estimate of $1.75 million. The increase is due to expenses associated with changes to Health Department systems and additional operation expenses for the remainder of the fiscal year. The funding for the first iteration was set aside in Health Department reserves during the annual budget process. The ATR will appropriate the reserves to allow the Health Department to transfer payment to ISD to meet hardware, software and consultant expenses.
In addition to the HCDS, the ATR includes $78,000 for implementation of the Active Directory project and $56,000 for the annual payments for Network Appliance replacement.
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FISCAL IMPACT:
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The ATR transfers $2.2 million from reserves into the operating budget for the Health Department. The Health Department’s FY 2006-07 Adopted Budget includes reserves for the projects of the Information Technology Strategic Plan. There is no change in the Net County Cost of the Health Department as the result of this appropriation from reserves.
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