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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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San Mateo Medical Center
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DATE:
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June 11, 2007
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BOARD MEETING DATE:
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July 10, 2007
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Sang-ick Chang, Interim Chief Executive Officer, San Mateo Medical Center
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SUBJECT:
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Second Amendment to the Agreement with Onsite Dental Care Foundation to Provide Dental Services to San Mateo County’s Homeless Population
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RECOMMENDATION:
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Adopt a Resolution authorizing the execution of a second Amendment to the Agreement with Onsite Dental Care Foundation to provide dental services to San Mateo County’s homeless population, amending in their entirety Exhibits A and B, increasing the maximum amount payable by $85,808 to $397,418, and extending the term of the Agreement by three months, to July 31, 2007.
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VISION ALIGNMENT:
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Commitment: To Ensure Basic Health and Safety for All.
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Goal 5: Provide residents access to healthcare and preventive care.
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This Agreement contributes to this goal by reducing the obstacles that exist in providing dental services to homeless individuals. Many obstacles to such care will be eliminated and homeless individuals will therefore have better access to dental services.
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Performance Measure(s):
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Measure
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FY 2006-07
Actual
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FY 2007-08
Projected
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% of homeless individuals successfully treated for decay or periodontal disease.
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80%
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81%
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Dental services will be provided to 705 homeless individuals. Evaluations will be
performed on each patient before and after treatment to evaluate the extent of the success of the treatment.
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BACKGROUND:
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San Mateo Medical Center (SMMC) is annually awarded a Health Care for the Homeless (HCH) grant from the federal Bureau of Primary Health Care of the Health and Resource Services Administration 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 the SMMC’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 to: 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; and 3) Eliminate barriers and provide better access to services by outreach to homeless individuals.
Following a Request for Proposal process, Onsite Dental Care Foundation was one of six contractors awarded an agreement based on the priorities of the Strategic Plan. The term of the Agreement with Onsite Dental Care Foundation was November 1, 2005 to October 31, 2006, with a maximum amount payable under the Agreement of $198,575.
On January 9, 2007, pursuant to Board Resolution No. 068476, this agreement was amended to extend the term of the contract by six month and increased the maximum amount payable to $311,610 to allow for the issuance of an RFP.
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DISCUSSION:
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Recently, the HCH Program created a Business Plan which has allowed it to analyze how it currently provides services to the homeless population in San Mateo County. As the result of the Business Plan, the Program is working on restructuring its service delivery system so this population receives high quality services with increased access. The SMMC has delayed issuance of RFP’s pending implementation of the Business Plan. Once the service system is restructured, a RFP will be issued so organizations that serve individuals who are homeless can submit proposals and apply for funding to provide medical, dental, mental health, substance abuse and/or other case management services. This RFP Process will be completed by July 2007 and contracts awarded for the period beginning August 1, 2007.
The HCH Program is extending this contract for an additional three months because of a delay in the Request for Proposal (RFP) process.
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.
County Counsel has reviewed and approved this Agreement.
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FISCAL IMPACT:
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This Amendment extends term of this Agreement by three months, to July 31, 2007. The maximum amount of this Agreement is increased by $85,808, from $311,610 to $397,418. All funds for this Agreement and the proposed Amendment are provided by the HCH grant. Expenditures and grant revenue for this Agreement are included in San Mateo Medical Center’s FY2006-07 Adopted and FY2007-08 Recommended Budgets. There is no Net County Cost.
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