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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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January 29, 2010
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BOARD MEETING DATE:
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February 23, 2010
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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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Jean S. Fraser, Chief, Health System
Brian Zamora, Director, Community Health
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SUBJECT:
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Continuation of Contracts
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RECOMMENDATION:
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Adopt a Resolution authorizing the Controller to continue payments on the Health System Community Health STD/HIV Program Agreements for the period of March 1, 2010 through June 30, 2010.
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BACKGROUND:
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The Department of Health and Human Services (DHHS) provides Ryan White Treatment Modernization Act (RW) funding to eligible metropolitan areas that are disproportionately affected by HIV/AIDS. This funding comes to the San Mateo County STD/HIV Program (SMCSH) through an Agreement with the City and County of San Francisco (CCSF). The amount of funding SMCSH receives each year is determined by the number of persons with HIV/AIDS living in San Mateo County.
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DISCUSSION:
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The term for the following four RW funded service Agreements will end on February 28, 2010. These are: AIDS Community Research Consortium (ACRC) for $183,509 to provide HIV food services; Family and Children Services (FCS) for $20,000 to provide mental health services; Harm Reduction Therapy Center (HRTC) for $56,664 to provide risk reduction counseling to high-risk clients who are HIV positive; and Mental Health Association of San Mateo County (MH) for $100,405 to provide housing and emergency assistance services.
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DHHS has not yet announced the funding amount that will be available to the San Francisco Eligible Metropolitan Area for the upcoming funding period. It is expected that DHHS will release the amounts of the awards by the end of March 2010. SMCSH will develop contracts as soon as the amount of the award is known. To ensure continued provision of services while funding Agreements are completed with DHHS and the City and County of San Francisco, it is necessary to authorize the Controller to continue to make payments to these contractors through June 30, 2010, at the following rates: ACRC $33,333, FCS $5,000, HRTC $26,667, and MH $33,390 for a total of $98,390. Except for the amounts, contractors shall be paid in accordance with all terms and conditions included in original agreements through June 30, 2010, or until amended agreements are completed. While the exact annual funding amounts are unknown, the allocation will be sufficient to cover the costs incurred during this extension.
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The Agreement and Resolution have been reviewed and approved by County Counsel.
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Approval of this Resolution contributes to the Shared Vision 2025 outcome of a Healthy Community by providing a continuum of medical and support services to San Mateo County residents affected by HIV/AIDS. It is anticipated that 97% of clients will report improved nutrition due to the receipt of food services.
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Performance Measure:
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Measure
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FY 2008-09
Actual
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FY 2009-10
Projected
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Percentage of clients who reported improved nutrition due to the receipt of food services rendered.
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96%
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97%
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FISCAL IMPACT:
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The estimated cost to provide these services for the period of March 1, 2010 through June 30, 2010, is $98,390. Funds for the annual cost of these Agreements, including the extension, have been included in the Public Health FY 2009-10 Adopted Budget. There is no Net County Cost.
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