Inter-Departmental Correspondence

Health System



May 5, 2010


June 8, 2010







Honorable Board of Supervisors


Jean S. Fraser, Chief, Health System
Lisa Mancini, Director, Aging and Adult Services



Agreements with six providers for Home Health and Attendant Care Services



Adopt a Resolution:


Authorizing the President of the Board to execute Agreements with Addus HealthCare, Inc.; Arcadia Health Services, Inc., doing business as Arcadia Health Care; Good Shepherd Holdings Corp., doing business as BrightStar Care of San Mateo; Maxim Healthcare Services; Medical Care Professionals; and NP Plus, LLC, doing business as Professional Healthcare at Home for home health and attendant care services for the term July 1, 2010 through June 30, 2013, in the collective amount of $970,000; and



Authorizing the Chief of the Health System or designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000 (in aggregate), for each Agreement, and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.



Aging and Adult Services (AAS) provides protective and supportive services, case management, and conservatorship services to functionally-impaired adults and seniors. Funding for these services is a combination of federal and State funds, as well as fees for services. Protective and supportive services provided by AAS include attendant care to individuals living independently. Attendants provide a variety of personal and health-related services that enable clients to remain living independently, safely, and comfortably in their own homes. AAS programs that provide attendant care include the Centralized Intake/Adult Protective Services (APS), Long-Term Supportive Services Program (LTSSP), Multipurpose Senior Services Program (MSSP), and the Public Guardian program.



A Request for Proposals (RFP) for a three-year cycle for the term July 1, 2010 through June 30, 2013 for home health and attendant care services was issued in November 2009. Nine organizations submitted proposals in response to the RFP. An evaluation committee including representatives from two Divisions of the Health System and two community-based organizations evaluated each of the proposals to assess the applicants’ experience and competence in the provision of the services required. Based on the criteria and the committee’s evaluation, eight applicants were selected to provide home health and attendant care services. Separate agreements with American CareQuest, Inc., and Community Development Institute/Pacific Islander Community Center Partnership will be developed to provide AAS’s Russian and Pacific Islander recipients with quality and culturally competent home care services and will be submitted to the Chief of the Health System at a later date.


Risk Management has reviewed and approved these Agreements. County Counsel has reviewed and approved the Resolution and Agreements as to form.


Agreements with these providers contribute to the Shared Vision 2025 outcome of a Healthy Community by allowing AAS to provide services to at-risk individuals that help them remain in the most independent setting possible. It is anticipated that 95% of at-risk individuals will be maintained in a least restrictive setting through case management and the services provided through these agreements.


Performance Measure:


FY 2008-09

FY 2009-10

Percent of at-risk individuals maintained in a least restrictive setting through case management





The term for all six of the Agreements is July 1, 2010 through June 30, 2013. The maximum the County shall be obligated to pay collectively for these Agreements under a single resolution is $970,000. The funding for these Agreements, is a combination of State, federal and client (conservatee) funds. These funds are included in the AAS FY 2010-11 Recommended Budget. There is no Net County Cost associated with this action.

Exhibit A

Request for Proposals (RFP) Matrix


General Description of RFP

Home Health and Attendant Care Services


List key evaluation criteria

Prior Experience

Demonstrated competence in performing the services required

Staff training and experience, skills, expertise, ratio of staff to client


Ability to document services, provide reports and maintain records

Cultural competence


Where advertised

Daily Journal: once on a weekday and once on a weekend


In addition to any advertisement, list others to whom RFP was sent

73 letters were mailed to providers and service organizations informing them of the RFP.


Total number sent to prospective proposers

Requests were downloaded from the Health System’s website.


Number of proposals received



Who evaluated the proposals

The committee consisted of representatives from:

Legal Aid Society

The Lesley Foundation

San Mateo County Behavioral Health and Recovery Services

San Mateo County Community Health


In alphabetical order, list names of proposers (or finalists, if applicable) and location

Addus HealthCare, Inc. – San Mateo

American CareQuest – San Francisco

Arcadia Services Inc., dba Arcadia Health Care - Redwood City

Community Development Institute/Pacific Islander Community Center Partnership – East Palo Alto

Good Shepherd Holdings Corp., dba BrightStar Care of San Mateo – San Mateo

Maxim Healthcare Services – San Jose

Medical Care Professionals – South San Francisco

NP Plus, LLC dba Professional Healthcare at Home – Walnut Creek