COUNTY OF SAN MATEO

COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

DATE:

January 28, 2008

BOARD MEETING DATE:

February 12, 2008

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Four-fifths vote

TO:

Honorable Board of Supervisors

FROM:

Sang-ick Chang MD, Chief Executive Officer, San Mateo Medical Center

SUBJECT:

Acceptance of Agreements between the County of San Mateo and the California Department of Healthcare Services, and the County of San Mateo and Ravenswood Family Health Center

RECOMMENDATION:

A. Adopt a resolution:

1.

Authorizing an Agreement between the County of San Mateo and the California Department of Healthcare Services (CDHS) to provide Federal Financial Participation allotment at San Mateo Medical Center (SMMC) for covered services rendered and allowable administrative costs to implement the SMMC Coverage Initiative (SB 1448) program, for the period of September 1, 2007 to August 31, 2010, for a total amount not to exceed $30,953,316.

2.

Authorizing an Agreement between the County of San Mateo and Ravenswood Family Health Center (RFHC) for the purpose of providing clinical services for patients enrolled in the SMMC Coverage Initiative (SB1448) program for the period of September 1, 2007 to August 31, 2010 for a total amount not to exceed $1,079,253.

B. Approve an Appropriation Transfer Request to accept unanticipated revenue of $8,598,144 for the period of September 1, 2007 to June 30, 2008. This will be appropriated to Salaries and Benefits ($6,477,607), and Services and Supplies ($2,120,537).

VISION ALIGNMENT:

Commitment: Ensure Basic Health and Safety for All

Goal 5: Residents have access to health care and preventive care.

The Coverage Initiative creates San Mateo County’s Access and Care for Everyone (ACE) Program and contributes to this goal by increasing access to healthcare for low-income patients.

Performance Measures

Measures

Annual Target

% Reduction in cost per patient due to reduced hospitalizations, Emergency Department visits, and overall patient care cost

TBD

Number and % of patients enrolled in Coverage Initiative with improved measures of diabetes, blood pressure, and cholesterol control

TBD

Number and % of patients enrolled in Coverage Initiative indicating improved satisfaction with clinical experience

TBD

Estimated timeline for TBD above: December 2008.

BACKGROUND:

San Mateo County successfully competed for funds from the CDHS to begin implementing a pilot experiment for the Blue Ribbon Task Force (BRTF) on Adult Health Care Coverage Expansion recommendations, through the ACE program. The ACE program will serve 2100 patients, and the funds are estimated to be $10.3 million each year for three years beginning September 1, 2007.

DISCUSSION:

San Mateo County has requested and received an annual allocation of $ 10.3 million to implement the ACE program. We will partner with the Health Department, Health Plan of San Mateo (HPSM) and RFHC. The execution of this agreement with CDHS as the funding agency, and the RFHC in the amount of $1,079,253 to serve 10% of the patient population, completes the major contractual infrastructure for the three (3) year term of the ACE program. In November 6, 2007, the BOS approved the agreement with the HPSM to serve as the third-party administrator, in the amount of $1,360,800

FISCAL IMPACT:

The requested allocation from the Coverage Initiative for health care services and administrative costs is $10,317,772 per year. This allocation will be claimed through a cost reporting mechanism and requires equal local matching funds. The County will claim for reimbursement from the State once the expenses have been incurred at no net County cost.



COUNTY OF SAN MATEO Inter-Departmental Correspondence
San Mateo Medical Center

DATE:			January 28, 2008
BOARD MEETING DATE:			February 12, 2008
SPECIAL NOTICE/HEARING:			None
VOTE REQUIRED:			Four-fifths vote

TO:		Honorable Board of Supervisors
FROM:		Sang-ick Chang MD, Chief Executive Officer, San Mateo Medical Center
SUBJECT:		Acceptance of Agreements between the County of San Mateo and the California Department of Healthcare Services, and the County of San Mateo and Ravenswood Family Health Center

RECOMMENDATION:
A. Adopt a resolution:

1.	Authorizing an Agreement between the County of San Mateo and the California Department of Healthcare Services (CDHS) to provide Federal Financial Participation allotment at San Mateo Medical Center (SMMC) for covered services rendered and allowable administrative costs to implement the SMMC Coverage Initiative (SB 1448) program, for the period of September 1, 2007 to August 31, 2010, for a total amount not to exceed $30,953,316.

2.	Authorizing an Agreement between the County of San Mateo and Ravenswood Family Health Center (RFHC) for the purpose of providing clinical services for patients enrolled in the SMMC Coverage Initiative (SB1448) program for the period of September 1, 2007 to August 31, 2010 for a total amount not to exceed $1,079,253.

B. Approve an Appropriation Transfer Request to accept unanticipated revenue of $8,598,144 for the period of September 1, 2007 to June 30, 2008. This will be appropriated to Salaries and Benefits ($6,477,607), and Services and Supplies ($2,120,537).

VISION ALIGNMENT:
Commitment: Ensure Basic Health and Safety for All
Goal 5: Residents have access to health care and preventive care.
The Coverage Initiative creates San Mateo County’s Access and Care for Everyone (ACE) Program and contributes to this goal by increasing access to healthcare for low-income patients.

Performance Measures
Measures				Annual Target
% Reduction in cost per patient due to reduced hospitalizations, Emergency Department visits, and overall patient care cost				TBD
Number and % of patients enrolled in Coverage Initiative with improved measures of diabetes, blood pressure, and cholesterol control				TBD
Number and % of patients enrolled in Coverage Initiative indicating improved satisfaction with clinical experience				TBD
Estimated timeline for TBD above: December 2008.
BACKGROUND:
San Mateo County successfully competed for funds from the CDHS to begin implementing a pilot experiment for the Blue Ribbon Task Force (BRTF) on Adult Health Care Coverage Expansion recommendations, through the ACE program. The ACE program will serve 2100 patients, and the funds are estimated to be $10.3 million each year for three years beginning September 1, 2007.

DISCUSSION:
San Mateo County has requested and received an annual allocation of $ 10.3 million to implement the ACE program. We will partner with the Health Department, Health Plan of San Mateo (HPSM) and RFHC. The execution of this agreement with CDHS as the funding agency, and the RFHC in the amount of $1,079,253 to serve 10% of the patient population, completes the major contractual infrastructure for the three (3) year term of the ACE program. In November 6, 2007, the BOS approved the agreement with the HPSM to serve as the third-party administrator, in the amount of $1,360,800

FISCAL IMPACT:
The requested allocation from the Coverage Initiative for health care services and administrative costs is $10,317,772 per year. This allocation will be claimed through a cost reporting mechanism and requires equal local matching funds. The County will claim for reimbursement from the State once the expenses have been incurred at no net County cost.