|
|
|
|
|
|
|
|
|
COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
|
|
|
|
DATE:
|
March 7, 2011
|
BOARD MEETING DATE:
|
March 29, 2011
|
SPECIAL NOTICE/HEARING:
|
None
|
VOTE REQUIRED:
|
4/5th
|
|
|
TO:
|
Honorable Board of Supervisors
|
FROM:
|
Jean S. Fraser, Chief, Health System
Lisa Mancini, Director, Aging and Adult Services
|
|
|
|
SUBJECT:
|
Amendment Two to the Agreement with the California Department of Aging for Title III/VII of the Older American’s Act of 1965 for FY 2010-11
|
|
|
RECOMMENDATION:
|
A)
|
Adopt a Resolution authorizing the President of the Board to execute Amendment Two to Agreement AP-1011-08 with the California Department of Aging increasing the total by $315,269 to $3,117,554 for the term July 1, 2010 through June 30, 2011; and
|
|
|
|
B)
|
Approve an Appropriation Transfer Request in the amount of $315,269 from Unanticipated Revenue to Provider Services Programs.
|
|
|
|
BACKGROUND:
|
Your Board has designated itself as the Area Agency on Aging (AAA) of San Mateo County to carry out State-funded programs pursuant to the Older American’s Act of 1965. On April 28, 2009, your Board approved the AAA 2009 –12 Area Plan for Services for Older Adults and Adults with Disabilities (Area Plan). This plan, together with the annual budget, fulfills the California Department of Aging’s (CDA) requirements and generates a contract from CDA for funding.
|
|
|
On June 8, 2010, your Board authorized Resolution 70811 approving Agreement AP-1011-08 with CDA for FY 2010-11 in the amount of $2,753,409. This Resolution also authorized the Chief of the Health System or designee to execute limited contract amendments.
|
|
|
On January 25, 2011, your Board authorized Resolution 71234 approving Amendment One to the Agreement AP-1011-08 with CDA for FY 2010-11 increasing the total by $48,876 to $2,802,285 with no change to the term.
|
|
|
|
|
Funding from CDA supports a variety of programs including Adult Day Care/Adult Day Health Care, Case Management, Congregate Nutrition, Disease Prevention/Health Promotion, Family Caregiver Support, Home-Delivered Meals, Legal Assistance, Ombudsman Program, Transportation, and Unsubsidized Senior Employment services. These services, which serve approximately 15,000 clients annually, are designed to carry out many of the goals and objectives identified in the Area Plan and help at-risk individuals remain in the most independent setting possible.
|
|
|
DISCUSSION:
|
Amendment Two includes additional One-Time-Only funds to be used to enhance services to older adults in the community through our current contracted community providers. Providers of nutrition services will be allocated funding to enhance their current delivery of congregate and home-delivered meals, and to purchase food and food preparation equipment. Direct client services will be enhanced. Funds will also be used for the procurement of outreach and education projects in multiple languages to increase community education and awareness of programs and services available in the County.
|
|
|
County Counsel has reviewed and approved the Resolution and Amendment as to form and content.
|
|
|
The increase in One-Time-Only funding from CDA contributes to the Shared Vision 2025 outcome of a Healthy Community by providing services to at-risk individuals that help them remain in the least restrictive setting possible. Through our AAA funds, it is anticipated that 15,000 clients will be served this fiscal year and that 95% of at-risk individuals will be maintained in a least restrictive setting through case management.
|
|
|
Performance Measures:
|
Measure
|
FY 2009-10
Actual
|
FY 2010-11
Projected
|
Number of people served through Area Agency on Aging funds
|
12,557*
|
15,000
|
Percent of at-risk individuals maintained in a least restrictive setting through case management
|
99%**
|
95%
|
*The number of people served in FY 2009-10 was lower than expected in this measure due to a decrease in State funding and the elimination of programs.
|
** The FY 2009-10 performance exceeded the division’s expectations in this measure.
|
|
|
FISCAL IMPACT:
|
The term of the Agreement remains July 1, 2010 through June 30, 2011. The maximum obligation for this Agreement is increased by $315,269 from $2,802,285 to a new maximum obligation of $3,117,554. There is no impact on the Net County Cost as a result of this action.
|