Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Cassius Lockett, Director, Public Health, Policy and Planning
Subject: Agreement with the City and County of San Francisco Department of Public Health to Provide HIV/AIDS Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with the City and County of San Francisco Department of Public Health HIV Services for funding to provide primary health care and psycho-social services to individuals with HIV/AIDS for the term of March 1, 2017 through February 28, 2018, in an amount not to exceed $1,176,303.
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BACKGROUND:
The Ryan White Treatment Modernization Act of 1990 (CARE) provides funding to eligible metropolitan areas (EMA) that are disproportionately affected by HIV/AIDS. EMAs utilize this funding for the development, organization, coordination, and operation of more effective and cost efficient systems that deliver essential services to individuals with HIV/AIDS and their families. Funding comes to the San Mateo Public Health STD/HIV Program (SMSH) through an agreement with the Bay Area EMA’s fiscal agent, the City and County of San Francisco (CCSF).
DISCUSSION:
SMSH utilizes CARE funding to provide a continuum of services, which includes outpatient ambulatory medical care, medical case management, housing assistance, outpatient and residential drug treatment, oral care, mental health, a food program, laboratory costs and medical supplies. This agreement is late due to delays from the federal government in releasing funds to CCSF, which did not send the agreement to the County until late September 2017.
The Resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and Resolution have been reviewed and approved by County Counsel as to form.
Approval of this Resolution contributes to the Shared Vision 2025 outcome of a Healthy Community by providing primary health care and psycho-social services to individuals affected by HIV/AIDS. It is anticipated that the viral load of 90% of clients receiving services will decrease or remain undetectable as a result of the medical and psycho-social services received.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Percentage of clients whose viral load will decrease or remain undetectable as a result of the medical and psycho-social services received |
93%* 419 clients |
90% 406 clients |
* FY2016-17 target of 90% was exceeded.
FISCAL IMPACT:
The term of the agreement is March 1, 2017 through February 28, 2018. The amount of the agreement is not to exceed $1,176,303. Funds in the amount of $393,089 were included in the Public Health, Policy and Planning (PHPP) FY 2016-17 Adopted Budget (revenue from the grant had already been accrued for, prior to receipt of the final agreement). Funds in the amount of $783,214 are included in the PHPP FY 2017-18 Adopted Budget. Since the County is receiving these funds, there is no Net County Cost associated with this agreement.