Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Srija Srinivasan, Director Family Health Services & Health Coverage Unit
Subject: Agreement with the California Department of Public Health for Oral Health Program
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with the California Department of Public Health to provide funding for the San Mateo County Oral Health Program for the term of January 1, 2018 through June 30, 2022, in an amount not to exceed $1,156,660.
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BACKGROUND:
Forty percent of 3-years olds in San Mateo County Head Start had untreated dental decay (2013-2015). Children of color have higher levels of decay than white children. Dental problems are the second most common reason for referrals to the Child Health & Disability Prevention program (2014-2015). Many pregnant women and elderly lack dental resources and services. The high need regions in San Mateo County are: Daly City and Brisbane; central San Mateo; East Palo Alto, Redwood City, and east Menlo Park; and Half Moon Bay, El Granada and Miramar on the coast. Only 31 private provider sites out of 885 licensed dentists in the county have actively billed Denti-Cal and only two-thirds of these limited number of providers accept new patients. The prevalence of community members without dental coverage has increased significantly - from 26.6% in 1998 to 32.4% in 2013. Among those without dental insurance, 34.3% report that they or a family member have dental problems that they cannot take care of because of a lack of insurance.
To address these issues, the San Mateo County Oral Health Coalition worked with consultants to develop a local needs assessment and strategic plan between late 2015 and summer 2016. The San Mateo County Oral Health Strategic Plan (2017-2020) was released in October 2016 and addresses five main objectives: 1) to increase access to dental services and oral health education for children and pregnant women; 2) to increase access to dental services and oral health education for adults; 3) to build oral health provider capacity; 4) to increase awareness of the importance of oral health; and 5) to establish an oral health infrastructure and oral health surveillance system.
Implementation of the strategic plan began with the support of four funders (Sequoia Healthcare District, Peninsula Health Care District, First 5 San Mateo County, Health Plan of San Mateo) working in concert with the San Mateo County Health System. In August 2017, San Mateo County was notified of the availability of new funds to support local oral health programs.
DISCUSSION:
The funds for the Oral Health Program, made available through the California Healthcare, Research and Prevention Tobacco Tax Act of 2016 (Prop 56), are to be used for public health services. The activities may include convening, coordination, and collaboration to support planning, disease prevention, surveillance, education, and linkage to treatment programs. The Prop 56 funding is made available through a grant agreement.
The Oral Health Coalition, through the steering committee, is considering a range of investments that can further the Plan based upon the grant’s restrictions and feedback on the initial budget submission to the State.
This grant agreement may require an annual signature to receive funds. As a result, FHS is seeking authorization for the Health System Chief to sign the agreement in lieu of your Board.
The Board is being asked to authorize the Health System Chief or his/her designee to execute subsequent amendments which do not exceed an aggregate of $25,000.
The grant and Resolution have been reviewed and approved by County Counsel as to form.
Approval of this grant contributes to the Shared Vision 2025 outcome of a Healthy Community by increasing access to dental services and oral health education for children and pregnant women, increasing access to dental services and oral health education for adults, building oral health provider capacity, increasing awareness of the importance of oral health and establishing an oral health infrastructure and oral health surveillance system. It is anticipated that in FY 2017-18, 102 children will be linked to oral health treatment.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Projected |
FY 2018-19 Projected |
|
Number of child linkages to oral health treatment |
102 |
214 |
FISCAL IMPACT:
The term of the agreement is January 1, 2018 through June 30, 2022. The amount of the agreement is not to exceed $1,156,660 for the 54-month term. Funds in the amount of $231,332 have been included in the FHS FY 2017-18 Adopted Budget. Similar arrangements will be made for future years. Since the County is receiving this funding, there is no Net County Cost.