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Approve a contract with Community Clinic Consortium for $205,000 to collect Social Determinant of Health (SDoH) and other risk factor data for Medi-Cal and CMSP eligible populations for the period beginning March 1, 2018 through December 31, 2019; and Authorize the County Administrator to execute the contract and any subsequent amendments that remain within budgeted appropriations
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Published Notice Required? Yes _____ No __X__
Public Hearing Required? Yes _____ No __X__
DEPARTMENTAL RECOMMENDATION:
The Department of Health & Social Services (H&SS) recommends that the Board approve a contract with Community Clinic Consortium for $205,000 to collect Social Determinant of Health (SDoH) and other risk factor data for Medi-Cal and CMSP eligible populations for the period beginning March 1, 2018 through December 31, 2019; and Authorize the County Administrator to execute the contract and any subsequent amendments that remain within budgeted appropriations.
SUMMARY:
The County Medical Services Program (CMSP) issued a request for proposals in July 2016 for their Wellness and Prevention Pilot Project, to test the effectiveness of providing local-level wellness and prevention services to CMSP eligible and potentially eligible clients. On January 1, 2017 Solano County was notified that the County was awarded a grant in the amount of $375,000 over three (3) years to identify and address social determinants of health in the health care setting. H&SS is requesting that the Board approve a contract with Community Clinic Consortium for $205,000 for the period beginning March 1, 2018 through December 31, 2019. This multi-year effort will assess the utility of SDoH data in identifying needs in the target population, correlate SDoH with health outcomes, and identify candidates to participate in CMSP programs.
FINANCIAL IMPACT:
The County Medical Services Program is providing the funding to Solano County for this contract with Community Clinic Consortium. There is no financial impact to the County General Fund.
DISCUSSION:
The County Medical Services Program (CMSP) provides limited-term health coverage for uninsured low-income, indigent adults that are not otherwise eligible for publicly funded health care programs. Eligibility for CMSP is determined by the county social services departments in the thirty-five participating CMSP counties in accordance with eligibility rules set by the CMSP Governing Board. The CMSP Governing Board seeks to support local health care systems to develop strategies to reduce barriers between health care providers and systems and promote collaboration and system linkages to facilitate timely and effective delivery of health care services to enrolled CMSP members, potential CMSP members, and other persons receiving publicly funded health coverage. On May 26, 2016, the CMSP Governing Board approved $7.65 million to be allocated to CMSP counties to test the effectiveness of providing local-level wellness and prevention services to CMSP eligible and potentially eligible clients. The focus areas for the request for proposals were: Community Wellness, Whole Person Care, and Addressing Social Determinants of Health.
Solano County worked collaboratively with Community Clinic Consortium and local community health clinics to develop a proposal in response to CMSP’s request for proposals. This collaborative developed a proposal to focus on identifying and addressing social determinants of health in the community health care setting. On January 1, 2017, Solano County received notification of a $375,000 award from CMSP through December 31, 2019 for activities related to CMSP’s priority area Addressing Social Determinants of Health. This focus area works to across five determinants: Economic Stability, Education, Social and Community Context, Health and Health Care, and Neighborhood and Built Environment, to establish policies and strategies that positively influence social and economic conditions and those that support changes in individual behavior for the uninsured, including potential CMSP enrollees.
Solano Public Health is requesting that the Board approve a contract with Community Clinic Consortium for $205,000 to execute key aspects of this project, including assessing the utility of Social Determinants of Health (SDoH) data in identifying needs in the target population; correlating SDoH with health outcomes; and identifying candidates to enroll in CMSP. This multi-year effort will develop a survey tool to use in all County Federally Qualified Health Centers (FQHCs) and other community health clinics; develop an algorithm for review of surveys and prioritize clients for case management; complete assessments for a minimum of 30,000 clients; perform case management services for a minimum of 2,100 clients; and link uninsured clients to health coverage enrollment, including CMSP. This work will be facilitated through convening monthly workgroup meetings including members from Community Clinic Consortium, community health centers, and Solano Public Health, as well as quarterly leadership meetings of these groups.
In Fiscal Year 2016/17, Community Clinic Consortium successfully achieved the goals for year one of the project, including: convening the Solano County Community Health Centers (including Solano County Federally Qualified Health Centers) to identify the target population for the project; coordinating the participation of Community Clinic Consortium members (Community Medical Centers, La Clinica de la Raza, Ole Health, and Planned Parenthood); working with Community Clinic Consortium members to plan for data entry into the Solano Population and Public Health Hub; and implementing and leading a project planning workgroup to develop the survey tool for social determinants of health and other risk factors.
ALTERNATIVES:
The Board may choose not to approve the contract with Community Clinic Consortium. This is not recommended because it would prevent the local community health centers from identifying and addressing social determinants of health in the health care setting.
OTHER AGENCY INVOLVEMENT:
Local community health centers, including Community Medical Centers, La Clinica de la Raza, Planned Parenthood, Ole Health, and Solano County’s Family Health Services were involved with this project.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION