Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Amendment to the Pledge Agreement with Lucile Packard Children’s Hospital at Stanford for Coordination of Prenatal and Obstetric/Gynecological Care for Low-Income Populations
RECOMMENDATION:
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Adopt a resolution:
A) Authorizing an amendment to the pledge agreement with Lucile Packard Children’s Hospital at Stanford for coordination of prenatal and obstetric/gynecological care to low-income populations, extending the term of the agreement through May 31, 2019; and
B) Authorizing the acceptance of an additional $300,000 in grant funds to an amount not to exceed $900,000.
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BACKGROUND:
Since June 2012, Lucile Salter Packard Children’s Hospital at Stanford (LPCH) has been reimbursing the County, through San Mateo Medical Center (SMMC), for coordinating prenatal and obstetric/gynecological care to low-income populations. On April 26, 2016, your Board approved the acceptance of grant funds enabling SMMC to continue to provide these services, in the amount not to exceed $600,000, for the term of June 1, 2016 through May 31, 2018.
DISCUSSION:
LPCH has expressed their support in continuing SMMC’s prenatal obstetric and gynecological care for the vulnerable community they serve and has committed to a one-year extension of the pledge agreement through May 31, 2019, with an associated increase in grant funds.
The amendment and resolution have been reviewed and approved by County Counsel as to form. This amendment is coming to your Board late due to the late arrival of grant funding awarded to SMMC.
The amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by providing prenatal care to women who reside in the County through collaboration with LPCH. It is anticipated that under this agreement the County, through SMMC and LPCH, will provide prenatal care to approximately 1,200 low-income pregnant County residents.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Actual |
FY 2018-19 Projected |
|
Number of low-income pregnant county residents provided with prenatal care by the County through SMMC and LPCH |
1,000 patients |
1,200 patients |
FISCAL IMPACT:
The term of the revised agreement is June 1, 2016, through May 31, 2019. The total amount paid to County by LPCH under the agreement with this amendment will be $900,000. The amendment increases the grant funds by $300,000. Receipt of funds from LPCH in the amount of $100,000 are included in the SMMC FY 2018-19 Adopted Budget. Similar arrangements will be made for future years. Since this is a reverse agreement to the County, there is no Net County Cost.
Expenses at SMMC are covered by fees for services or third-party payors whenever possible. The portion of expenses for services provided to the medically indigent or to those covered by programs that do not meet the full costs of care are covered by the County’s General Fund contribution to SMMC and are within the existing annual appropriation.