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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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December 20, 2007
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BOARD MEETING DATE:
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January 8, 2008
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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
Srija Srinivasan, Director, Health Policy and Planning
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SUBJECT:
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Grant Agreement with The California Endowment to provide $345,750 in support of an evaluation of the San Mateo Access and Care for Everyone Program, a coverage expansion program created by the Blue Ribbon Task Force on Adult Health Care Coverage Expansion.
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RECOMMENDATION:
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1.
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Adopt a Resolution authorizing the President of the Board to execute the Grant Agreement from The California Endowment for the term of January 1, 2008 to December 31, 2009, for an amount not to exceed $345,750; and
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2.
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Approve an Appropriation Transfer Request (ATR) recognizing unanticipated revenue in the amount of $86,437, for one year from Other Foundation Grants.
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VISION ALIGNMENT:
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Commitment: Ensure basic health and safety for all.
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Goal 5: Residents have access to healthcare and preventive care.
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This Grant Agreement contributes to this commitment and goal by improving service integration and expanding health care coverage for many uninsured adults living in San Mateo County.
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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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* Number of community members engaged in addressing high priority health issues
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450
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450
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* This performance measure reflects retention of community member participation in addressing long-term priority health issues.
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BACKGROUND:
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In response to the growing number of uninsured adults in San Mateo County, your Board formed the Blue Ribbon Task Force on Adult Health Care Coverage Expansion (Task Force) on June 26, 2006. The charge of this group was to explore options for providing comprehensive health care access and/or insurance coverage to uninsured adults in San Mateo County living at or below 400% Federal Poverty Level (FPL) and to bring recommendations to the Board of Supervisors by July 2007.
On July 24, 2007, your Board approved the Task Force’s Preliminary Recommendations through Resolution 68874. The Task Force also agreed to develop final recommendations over the next several months and reconvened in late October 2007 to begin this process.
The County of San Mateo, through a partnership made up of the San Mateo Medical Center, Health Department and Health Plan of San Mateo received a grant from the State of California Department of Health Care Services to pilot the San Mateo Access and Care for Everyone (ACE) program, a County-wide adult coverage expansion program. This pilot program is part of the Task Force’s recommendations presented to and accepted by your Board.
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DISCUSSION:
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The Task Force’s Preliminary Recommendations, which created the ACE program, provide a high-level framework for adult coverage expansion. The pilot program evaluation, funded by The California Endowment, is key to successfully implementing the Task Force’s recommendations, as it will measure the effectiveness of the program.
The goals of the San Mateo ACE program are to 1) serve 2,100 low-income uninsured adults, and 2) provide enhanced services through the San Mateo Medical Center’s Radical Redesign of Chronic Disease Care. The California Endowment is providing funds to evaluate these two goals and to assess the feasibility of expanding the San Mateo ACE program to more uninsured adults living in San Mateo County. The evaluation will last two years, and key evaluation activities will include data collection and analysis of service delivery, access, ease of program use, client outreach and enrollment trends. External evaluation consultants will be hired using the California Endowment Funds to analyze improvements in clients’ health, as well as financial and delivery system efficiency gains over the evaluation period.
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FISCAL IMPACT:
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The Grant Agreement with The California Endowment has a term of January 1, 2008 through December 31, 2009 and provides $345,750 in unanticipated revenues. The total unanticipated revenue and increased expenditures of $86,437 will be added to the Department’s FY 2007-08 Adopted Budget through the accompanying ATR. The remaining $259,313 will be added as $172,876 and $86,437 to the FY 2008-09 and FY 2009-2010 tentatively adopted budgets, respectively. There are no additional Net County Costs associated with this Grant Agreement or ATR.
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