Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Cassius Lockett, Director, Public Health, Policy, and Planning
Subject: Agreement with the California Department of Public Health Tuberculosis Control Branch for Tuberculosis Civil Detention Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with California Department of Public Health Tuberculosis Control Branch for funding to provide tuberculosis civil detention services for the period of July 1, 2020 through June 30, 2021, in an amount not to exceed $107,310.
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BACKGROUND:
Tuberculosis Control programs are an essential part of every County in the State. These programs provide Tuberculosis (TB) case management, directly-observed therapy (DOT), and monitoring of TB cases to ensure medication compliance with treatments prescribed. Per California Code of Regulations Title 17 Section 2624, a County health officer can order non-compliant TB patients to be admitted to a custodial facility to ensure that the patients receive appropriate TB treatment and prevent further spread of TB in the community.
Telecare Corporation (Telecare) operates Cordilleras Mental Health Rehabilitation Center (Cordilleras), the Regional Civil Detention Site for non-adherent TB patients with mental health diagnoses in Northern California. Telecare provides psychiatric treatment services and DOT services for non-adherent TB patients. There are only two sites available in the State for this purpose. Due to County Health’s existing relationship with Telecare and the location of their office, the California Department of Public Health (CDPH) Tuberculosis Control Branch has asked that County Health contract with Telecare to provide these services to local health jurisdictions in Northern California. CDPH provides pass through funding to San Mateo County to pay Telecare for the services.
DISCUSSION:
CDPH has provided $107,310 in funding to reserve a bed at Cordilleras for the detainment of one non-adherent TB patient in the Northern California region.
This contract is late due to delays in receiving the agreement from the State.
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.
It is anticipated that approximately 54 active TB cases will be case managed by County Health’s TB Control program to ensure that those patients are no longer infectious, with exposed contacts investigated and managed accordingly.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Actual |
FY 2020-21 Projected |
|
Percentage of active TB cases that will be case managed by County Health’s TB Control program to ensure that those patients are no longer infectious, with exposed contacts investigated and managed accordingly |
100% 54 active TB cases |
100% 54 active TB cases |
FISCAL IMPACT:
The term of the agreement is July 1, 2020 through June 30, 2021. The amount of the agreement is not to exceed $107,310 for the one-year term, which is included in the Public Health, Policy, and Planning FY 2020-21 Recommended Budget. Since the County is receiving these funds and no matching funds are required, there is no Net County Cost associated with this agreement.