COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health System

 

DATE:

November 9, 2010

BOARD MEETING DATE:

December 14, 2010

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

FROM:

Jean S. Fraser, Chief, Health System
Susan Ehrlich, MD, MPP, Chief Executive Officer
San Mateo Medical Center

SUBJECT:

Amendment No. 2 to the Agreement with Onsite Health

 

RECOMMENDATION:

Adopt a Resolution authorizing the President of the Board to execute Amendment No. 2 to the Agreement with Onsite Health to provide dental health care services to homeless individuals in San Mateo County by extending the term by one year for a new term of November 1, 2009 through October 31, 2011, and increasing the funding by $137,235 for a new maximum fiscal obligation of $274,470.

 

BACKGROUND:

San Mateo Medical Center (SMMC) was awarded the Health Care for the Homeless (HCH) grant from the Federal Bureau of Primary Health Care, Health and Resource Services Administration to provide primary, dental, and behavioral health care to the County’s homeless population.

 

In early 2007 a Request for Proposals was issued and Onsite Health was selected to provide comprehensive dental health care services to individuals who are homeless and/or at risk of being homeless. Onsite Health contracted with the County from November 1, 2008 through October 31, 2009 and again from November 1, 2009 through October 31, 2010.

 

DISCUSSION:

Onsite Health operates a mobile dental van that provides dental services to homeless individuals through SMMC's HCH Program.  SMMC has expanded dental services to homeless patients by operating Saturday and weekday evening dental clinics.  Even with the additional dental clinics and operating at current capacity, SMMC continues to experience an increased demand for dental care among homeless patients.  Through an American Recovery and Reinvestment Act (ARRA) Grant, SMMC is in the process of purchasing a dental van to provide for mobile dental services, however, that van will not be ready for operation until July 2011 at the earliest. Community contracts are needed to meet this demand in the interim.

 

The current Onsite Health contract only covers 12 months. This amendment will provide continuity to bridge services until the SMMC dental van is ready for operation.

 

The Amendment and Resolution have been reviewed and approved by County Counsel as to form.

 

The Contractor has assured compliance with the County’s Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.

 

The Amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by providing dental health care services to homeless individuals in San Mateo County. It is anticipated that 50% of dental patients will complete treatment plans within a twelve month period.

 

Performance Measure:

Measure

FY 2009-10
Actual

FY 2010-11
Projected

Percentage of dental patients who complete treatment plans within a twelve month period

50%

50%

 

FISCAL IMPACT:

The Amendment extends the term by one year, for a new term of November 1, 2009 through October 31, 2011 and increases the funding by $137,235 for a maximum fiscal obligation of $274,470. All funds in this Agreement are provided by the HCH grant. Additional expenditures and grant revenue of $91,490 for this Agreement are included in the SMMC FY 2010-11 Adopted Budget. Grant revenue in the amount of $45,745 will be included in the SMMC FY 2011-12 Recommended Budget. There is no Net County Cost.