COUNTY OF SAN MATEO

 

Inter-Departmental Correspondence

 

Health Department

 

DATE:

May 25, 2007

BOARD MEETING DATE:

June 5, 2007

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Four-fifths vote

 

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department

Srija Srinivasan, Director of Health Policy, Planning, and Promotion

   

SUBJECT:

Amendment to the Agreement with Breathe California: Golden Gate Public Health Partnership for Tobacco Cessation Services

   

RECOMMENDATION:

A.

Adopt a Resolution:

   

1.

Waiving the Request for Proposal (RFP) process; and

   

2.

Authorizing the President of the Board to execute Amendment I to Agreement Number 55500-06-C256 with Breathe California: Golden Gate Public Health Partnership to provide expanded tobacco cessation services to adults in San Mateo County and increasing the amount by $73,688, for a maximum obligation of $116,413, with no change to the term of January 1, 2006 through June 30, 2007.

   

B.

Approve an Appropriation Transfer Request (ATR) recognizing unanticipated revenue in the amount of $89,374 and increasing appropriations in various operating accounts.

   

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.

 

The Agreement contributes to this commitment and goal by providing tobacco cessation services for adults in San Mateo County.

 
 
 
 

Performance Measures:

Measure

FY 2005-06
Actual

FY 2006-07
Projected

Number of children positively impacted through parent’s, caregiver’s or other household member’s behavioral changes

N/A

170

Quit Rate for program participants

N/A

25%

BACKGROUND:

The First 5 Commission (First 5) funds the Health Department’s Smoke-Free Start for Families (SFSF) Program to provide free tobacco cessation services to families with young children in San Mateo County. Participants receive services either over the phone or in group classes. Nicotine Replacement Therapy (NRT) is available to all participants at no charge. County staff process program referrals, coordinate group classes, manage program data, and coordinate reporting requirements for funders. SFSF’s annual budget is over $290,000, of which approximately $226,000 is contributed by First 5. This funding was slated to end on December 31, 2006, but was extended to June 30, 2007.

On April 28, 2006, the County executed an Agreement with Breathe California: Golden Gate Public Health Partnership (Breathe) for the period of January 1, 2006 to June 30, 2007, in the amount of $42,725. The contract objectives are to purchase NRT, provide facilitators for tobacco cessation services, and offer technical assistance in the provision of cessation services to adults in the county. Breathe conducts the facilitator training based on the American Lung Association Freedom from Smoking (FFS) curriculum, which is the same curriculum used by the SFSF Program.

DISCUSSION:

In December 2006 First 5 increased SFSF’s budget by $89,374 and extended the grant to June 30, 2007. The Amended Agreement with Breathe provides some of these funds from First 5 to pilot a lower-cost intervention that has shown promise in other communities such as Sacramento and Santa Clara Counties. This intervention is a shorter version of the FFS curriculum but yields a similar quit rate, as seen in a Santa Clara County pilot. Breathe will adapt the curriculum to meet the needs of county residents. Additionally, Breathe will recruit at least two community-based organizations, train their staff on the new curriculum, and oversee the delivery of tobacco cessation classes. NRT would continue to be provided at no charge. Staff have been working on the Amendment since February after learning of the grant extension from First 5. During these contract negotiations, which took longer than anticipated, new services were added to the Agreement. For this reason and because Breathe is a sole source provider that will pilot a lower-cost intervention model, it was decided to request a waiver of the RFP process. County Counsel has reviewed and approved all documents as to form and content.

FISCAL IMPACT:

The accompanying ATR recognizes $89,374 in unanticipated revenue from First 5 for FY 2006-07. The Amendment with Breathe increases the original contract amount by $73,688, bringing the total to $116,413. The original Breathe contract amount accounts for $42,725, First 5 funding provides $51,693, and Tobacco Prevention Program Master Settlement Funds pay the balance of $21,995. The remaining unanticipated revenue from First 5, $37,681, will be used for additional tobacco cessation program activities within the Department. There is no change to the original Agreement term of January 1, 2006 to June 30, 2007 and no Net County Cost associated with this Amendment or with the ATR.