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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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January 21, 2011
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BOARD MEETING DATE:
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February 15, 2011
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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, 2011 through June 30, 2011.
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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 three RW funded service Agreements will end on February 28, 2011. These are: AIDS Community Research Consortium (ACRC) for $145,000 to provide HIV food services; Harm Reduction Therapy Center (HRTC) for $85,000 to provide risk reduction counseling to high-risk clients who are HIV positive; and Mental Health Association of San Mateo County (MH) for $61,162 to provide housing and emergency assistance services.
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It is expected that DHHS will announce the funding amount that will be available to the San Francisco Eligible Metropolitan Area for the upcoming funding period by the end of March 2011. 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, 2011, at the following rates: ACRC $40,000, HRTC $28,333, and MH $20,387 for a total of $88,720. Except for these amounts, contractors shall be paid in accordance with all terms and conditions included in original agreements through June 30, 2011, 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 Resolution has been reviewed and approved by County Counsel.
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Approval of this Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing medical care and psycho-social services to individuals affected by HIV/AIDS. It is anticipated that the viral load of 75% of clients receiving services will decrease or remain undetectable as a result of the medical and psycho-social services received.
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Performance Measure:
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Measure
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FY 2009-10
Actual*
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FY 2010-11
Projected
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Percentage of clients whose viral load will decrease or remain undetectable as a result of the medical care and psycho-social services received.
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N/A
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75%
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* New measure
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FISCAL IMPACT:
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The estimated cost to provide these services for the period of March 1, 2011 through June 30, 2011, is $88,720. Funds for the annual cost of these Agreements, including the extension, have been included in the Community Health FY 2010-11 Adopted Budget. There is no Net County Cost.
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