COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health System

DATE:

December 10, 2010

BOARD MEETING DATE:

January 25, 2011

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:

Agreement with Shelter Network of San Mateo County

RECOMMENDATION:

Adopt a Resolution authorizing the:

A)

President of the Board to execute an Agreement with Shelter Network of San Mateo County to provide case management services to San Mateo County’s homeless population for the term of November 1, 2010 through October 31, 2013, for a maximum obligation of $276,750; and

B)

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), 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.

BACKGROUND:

San Mateo Medical Center (SMMC) was awarded the Health Care for the Homeless (HCH) grant from the Federal Bureau of Primary Health Care of the Health and Resources Services Administration to provide primary medical, dental, and behavioral health care to San Mateo County’s homeless population. The HCH Program is designed to assist homeless adults, families and youth with access to and utilization of SMMC’s continuum of care and other support services. The HCH Program contracts with both County and community-based programs to provide this care.

In August 2010 SMMC conducted a Request for Proposals (RFP) process for the Homeless Program – Enabling Services. Four proposals were received and evaluated. The proposal from Shelter Network of San Mateo County (Shelter Network) was one of the two selected for funding.

DISCUSSION:

Shelter Network was selected to receive HCH funding to provide case management, outreach, patient and community education, transportation, eligibility assistance, translation services, and referral services to improve client access to San Mateo County Health System primary medical services. Shelter Network will provide comprehensive enabling services to at least 450 unique homeless individuals each year, 150 of whom must not have been in the SMMC/HCH system the previous year. In addition, a minimum of 100 of these homeless individuals will complete a Supplemental Security Income (SSI) Medi-Cal or Social Security Disability Insurance (SSDI) Medicare application each contract year in an effort to remove additional barriers from accessing services. Due to the complexity of the negotiations involved there was a delay in processing this Agreement.

The Agreement and Resolution have been reviewed and approved by County Counsel as to form. The Contractor’s insurance has been reviewed and approved by Risk Management. 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.

This Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing access to case management services to homeless individuals residing at shelters and to unsheltered homeless individuals residing on the streets of San Mateo County. It is anticipated that 75% of homeless individuals screened will access primary care (medical, dental, behavioral) at least once during the contract year through the San Mateo County Health System. By accessing primary care and receiving ongoing case management services these individuals will experience an improvement in their overall health.

Performance Measure:

Measure

FY 2009-10
Actual

FY 2010-11
Projected

Percent of homeless individuals screened will access primary care (medical, dental, behavioral) at least once in the contract year with HCH.

75%

75%

FISCAL IMPACT:

The term of the Agreement is November 1, 2010 through October 31, 2013. The maximum amount payable under the Agreement is $276,750. All funds for this Agreement are provided by the HCH grant. Expenditures and grant revenue of $60,000 for this Agreement is included in the SMMC FY 2010-11 Adopted Budget. Grant revenue will be included in the SMMC FY 2011-12 Recommended Budget, and future budgets, for the remainder of the Agreement. There is no Net County Cost.

Expenses at SMMC are covered by fees for services or third-party payors whenever possible. The portion of expenses for services provided to the medically indigent or to those covered by programs that do not meet the full costs of care are covered by the County’s General Fund contribution to SMMC.

1.

General Description of RFP

Provide for the Healthcare for the Homeless Program – Enabling Services to improve access to care, the establishment of medical homes and removal of barriers to receiving services.

2.

List key evaluation criteria

Quality and feasibility of proposed approach to meeting program requirements, RFP intent and target population services, including the quality of the proposals: Program Service Description; Program Service Delivery; Program Objectives; Program Community Collaboration; Program Management; Outcome Reporting; and Budget.

Efficiency of Services Provided Against Amount of Funds available and requested.

3.

Where advertised

San Mateo Medical Center Website

4.

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

Ravenswood Family Health Center, Attn: Aaron Lones

Ravenswood Family Health Center, Attn: Wilfredo Cerrato

Public Health Mobile Van and Edison Clinic

Public Health Mobile Van

Onsite Health, Inc.

St. Vincent de Paul Society

Shelter Network, Attn: Brian Greenberg

Shelter Network, Attn: Chris Canter

AOD, BHRS, Attn: Catherine Barber

AOD, BHRS, Attn: Mark Korwald

Center on Homelessness, HSA

Project 90 Inc.

Sonrisas Community Dental Center

VA Palo Alto Health Care System

S.M.A.R.T., Adult Resource Mgmt, BHRS

Home and Hope

Safe Harbor Shelter (Samaritan House), Attn: Melissa Moss

Safe Harbor Shelter (Samaritan House), Attn: Maryam Bhimji

El Concilio of San Mateo County

Pacifica Resource Center

Fair Oaks Community Center

North Peninsula Neighborhood Services Center

Puente de la Costa Sur

Coastside Hope Community Assistance Center

Daly City Partnership

Coastside Collaborative

Pacifica Collaborative

Community Information Program

Multicutural Institute

Next Step Center, Attn: Anthony Baugh

Next Step Center, Attn: Elizabeth Fraley

First Step for Families, San Mateo

4.

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

Inn Vision/Clara Mateo

WeHOPE, EPA

5.

Total number sent to prospective proposers

34

6.

Number of proposals received

4

7.

Who evaluated the proposals

Bob Stebbins, St. Vincent DePaul Society; Ali Shirkhani & Rex Andrea, HSA, Center on Homelessness; Naida Pare, SMMC HCH Program Coordinator and Jim Beaumont, SMMC HCH Program Manager

8.

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

Behavioral Health and Recovery Services, San Mateo County Health Services Agency, San Mateo, CA

Public Health Services Mobile Van, San Mateo County Health Services Agency, San Mateo, CA

Samaritan House, San Mateo, CA

Shelter Network, Burlingame, CA