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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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June 1, 2010
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BOARD MEETING DATE:
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June 29, 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
Susan Ehrlich, MD, MPP, Chief Executive Officer
San Mateo Medical Center
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SUBJECT:
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Acceptance of a Grant from Kaiser Foundation Hospitals
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RECOMMENDATION:
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Adopt a Resolution:
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1)
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Accepting a grant from the Kaiser Foundation Hospitals, Northern California Community Benefit Programs Division, in the amount of $299,766 in support of the Specialty Care Initiative for the term January 1, 2010 through December 31, 2010; and
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2)
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Authorizing the President of the Board to execute an Agreement with Kaiser Foundation Hospitals to continue the Specialty Care Initiative for a term of January 1, 2010 through December 31, 2010.
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BACKGROUND:
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The Specialty Care Initiative is part of the Coverage Initiative initiated by The Blue Ribbon Task Force on Adult Health Care Coverage created by this Board of Supervisors to examine options for universal coverage of the uninsured. The Initiative partners are Kaiser, San Mateo County Health System, Ravenswood Family Health Center and Health Plan of San Mateo.
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In January 2008 the San Mateo Medical Center (SMMC) was awarded a grant from the Kaiser Northern California Community Benefits Specialty Care Initiative. The purpose of the grant is to pilot the use of multi-disciplinary teams to provide case management to uninsured patients with complex medical conditions and to provide better access to specialty care for those patients. Studies have shown that these patients use over 80% of the “safety net” healthcare resources of the County. Over 50% of the patients utilizing SMMC specialty clinics are uninsured. Inadequate access to specialty care among this segment of the uninsured population is one of the reasons for this high cost of care.
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DISCUSSION:
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The grant award provides funding for the final year of the implementation plan for the Specialty Care Initiative. The implementation plan details specialty care priorities and the capacity and mix of specialty care that the Initiative partners could realistically deliver and sustain.
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The Health System Redesign Initiative Team has reviewed and approved this Agreement. County Counsel has reviewed and approved the Resolution and Agreement as to form.
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Approval of this Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by fostering and strengthening community-based solutions to increase access and reduce demand for specialty care for the community’s uninsured and underinsured population. It is anticipated that over 85% of patients rating service will provide ratings of good or excellent regarding treatment and service.
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Performance Measure:
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Measure
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FY 2009-10
Estimated
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FY 2010-11
Projected
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Percentage of patients rating service as very good or excellent
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85%
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85%
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FISCAL IMPACT:
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SMMC has received a grant in the total amount of $299,766. Those funds have been included in the SMMC tentatively Adopted FY 2010-11 Budget.
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