Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with San Mateo Health Commission dba Health Plan of San Mateo to Accept Funds Supporting the Primary Care Engagement Pilot Program
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with San Mateo Health Commission dba Health Plan of San Mateo (HPSM) to accept funds supporting the Primary Care Engagement Pilot program, in an amount not to exceed $300,000.
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BACKGROUND:
The Primary Care Engagement Pilot is an innovation project by San Mateo Medical Center (SMMC). The project aims to expand access to those currently unengaged with primary care through community-based co-design. The project originates from SMMC’s strategic intent to move towards a value-based care future and the recognized need to improve primary care access. The project was developed in alignment with both SMMC and San Mateo Health Commission dba Health Plan of San Mateo (HPSM) leadership.
On February 5, 2025, HPSM approved funding for a Primary Care Engagement Pilot through SMMC Innovation Lab.
DISCUSSION:
In accepting the $300,000 funding, SMMC will complete the ethnographic research phase, co-develop a Care Team Model based on research results, and report out findings to HPSM. This agreement is going to this Board late due to prolonged negotiations with the vendor.
The County Attorney has reviewed and approved the resolution and agreement as to form.
It is anticipated that SMMC will report out to HPSM by the due dates listed in the agreement 100% of the time.
PERFORMANCE MEASURE:
|
Measure |
FY 2025-26 Estimated |
FY 2026-27 Projected |
|
Percentage of time SMMC will report out to HPSM by the due dates listed in the agreement |
100% |
100% |
COMMUNITY IMPACT:
SMMC is committed to advancing health by ensuring all individuals have access to high-quality, compassionate healthcare. SMMC’s patients span a wide spectrum of races, ethnicities, gender, and gender-identities. Within the past 18 months, the largest cohorts of specialty care patients at SMMC were female (52%), Hispanic or Latino (63%), and primarily Spanish-speaking (55%).
The Primary Care Engagement Pilot aims to engage the Spanish-speaking population who is assigned to SMMC for primary care but are unengaged in seeking primary care. The Pilot’s emphasis on ethnographic research and community co-design will build the capacity within SMMC to engage its underserved populations through on-the-ground relationships and trust-building. The community impact of this work will be manifest through higher engagement from those populations who conventionally have not been engaged in primary care.
FISCAL IMPACT:
The term of the agreement is March 1, 2025 through March 1, 2026. The amount of the agreement is not to exceed $300,000 for the three-year term. The anticipated appropriations and grant revenue will be added to the SMMC FY 2025-26 Approved Budget using an Appropriation. Anticipated appropriations and grant revenue will be incorporated into recommended budgets in future years.