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SR-11-22-1977-11HSanta Monica, California, November 15, 1977 TO: Mayor and City Council FROM: City Staff SUBJECT: Amendment to Health Screening Clinic Contract Introduction N 0 V 2 2 19771 The original contract between the City and the Santa Monica Bay Area Health Screening Clinic for the Elderly expired on November 1, 1977. During budget approval, a total of $30,000 was allocated by the City Council for the clinic; but Council stipulated that $20,000 be considered "contingency" funds to be used only if the clinic could not raise funds elsewhere. The $10,000 can be released for clinic operation for November and December without further Council authorization. The clinic is requesting an amended contract to allow their use of the $20,000 "contingency" funds. Background The City received a grant from the Area Agency on Aging for operation of a health screening clinic for the elderly in the amount of $67,000. The City contracted with the Santa Monica Bay Area Health Screening Clinic for the Elderly, Inc., for operation of the clinic. A commitment was required by the funding agency to continue operation of the clinic beyond the funding cycle. This has been accom- plished and amendment of the contract would constitute a second year of direct City funding. The City Council, in withholding the $20,000 in a contingency fund, has required the clinic to submit a written report outlining their efforts toward obtaining outside funding. This report of fund raising efforts was transmitted to you in a memorandum of information dated October 13, 1977• A copy of that report is attached. �I NOV 2 2 1977 TO: Mayor and City Council -2- November 15, 1977 The request of the clinic is for an amendment to their City contract to allow release of the $20,000 contingency fund to Cost of clinic operations is approximately days of health screening on Wednesdays and Tuesdays. On the first and third Tuesdays and, on the second and fourth Tuesdays scr pressure and stress reduction. Alternatives carry them through the end of April. $5,000 per month and includes two full Thursdays. Other clinics are held on there is eye screening and diet clinic; aening clinics are held for blood 1. The City Council may elect to authorize an amendment to the clinic contract to include release of the $20,000 now held in a contingency fund for operation through April 30, 1978. 2. Council may elect to withhold the $20,000 and permit the clinic the approved $10,000 for two months of operation with no additional commitment of funds. 3. Council may elect to release the $20,000 and amend the contract to cover a period of eight months, instead of four, as a phasedown method for cutting the present schedule in half. The $20,000 would carry the clinic through the end of April at its present level of operation. If the contract is expanded over an eight month period, the level of service would be cut, but the clinic could operate with City funds through the end of August. 4. Council may elect to hold the $20,000 as a local match to be released in incremental sums. An example is where the clinic can identify $5,000 in new funding, the City would provide an equal amount up to and including the $20,000. T0: Mayor and City Council -3- Recommendation City staff recommends approval of Alternative 3. Prepared by: Martha Brown Hicks MBH:mh Attachment November 15, 1977 SANTA MONICA BAY ARE/ -, HEALTH SCREENING CLINIC FOR THE ELDERLY, INC. 1250 Sixteenth St. Santa Monica. Calif. 90404 451 -1727 ROARD OF DIRECTORS Dan Sullivan, Trcas. GOLDA LARKS - ✓yntnia Dirkles. JAMES FREED. D.D.S. N «e..REED BEAT MISHKIN RICE � .�.� NATHAN MATLIN - GERALD SHAW. M:D. FRANCES COHEN. R.N. RUIN MILLS LOUISE GABRIEL City of Santa 15805 1'ain St. , Santa Mica, is r.ttention: rs. llarcha Hicks, Dir. Grants Coordinator and Cotnmuni,y Services R—VT 116" nYh Prv.�. :-. TI7:.':. ...,, i :ter♦ `� Tl a -_ C;Ld �iS:. i b _.�u�,av l0 Itv•.�_�06�.. S1iU,.'.; o Ul'' .t 1J1' �.1,vG ^he' Health Screening Olin ;_c for the -'1dc:,ly w-s funded by the County Area ency on lasing for the first year Narch 1975 throu h 14arch 1977. '. 1C : ity o Santa 1'onica has been funding the ^lini C since 15'•77. Ir pu -nDose of tl.e free Cllinic is to , crvice parsons 5^ and over. who do not have the taeans for a yearly physical e ;:a ci nation. Such a yearly examin,Caion is especially necesss• ; -y since.ol er persons are subject. to diseases which if not treated nay render them " helpless and may necessitate placing- then in institu- tions. Such incarceration places a tre�I?eTLdous burden upon th gr e workin r�ooulation through tmcation. file pur• ose of -ne Clinic is to pinpoint these disabling diseases, ; °econmend and insist that they seek treat- ment thereby prolonging the older persons independence, self_ .'£li n ^e and k£epinr "JaCn out of -costly ins titu- tiors wi-ich burden the ;,enaral citizenr y. Cur Ilin_i_c is staffed by one full time director, one ;fart time assistant, t;oo half ti::te doctors and a pa'k-t, tine laboratory technician, 411 of =her professionals such as doctors, nurses, counselors are volunteers. tal clerical work is done by volunteers. St. Johns ILospital and Santa 1- `oni_ca Hospital are supplying additional diag- nostic services and doctors. C -here is close.COO!Ieration r'i'ch all the social services o the City. Our CJ_inic ha.s served pore than 2J:)0 ; Cr °so?IS. 90;0 of ? ?CCC Inir t- 1^Cl1.0 11 att£il i,lOn T��E'i� - C?XC ".i rCd t0 Ihy- sicie'Tls or other health clinics wao ^are "1V1?lC; trest- ment such as 'thF Les Kelly Clinic; \rC :' ns l'o'-1-d-al etc. Lt was found that one out of every z_ve Crs ^1180 - 'CCe1Vin the ]`h 1Ca1 w S in need of rledlcal Ccre ='Q-' 1ulrlln,ltimn diseases sllch as CL1 ab e.tCdS, glaucoma, FSTFT.I F TI IVMAN- M.P.H. 2 cailccx Of the bre ".S'i!. positive ,)ap smea" S, rW ite DrobIcnS and e:C- ^er`t•]_ hi` *.h blood pressure. 1' "ost of tiios, i'iaticll'i:.S wc).'e unaware tilat `hey were in dati;(e_x- of lon;; ,,ailriul illness and ins tituIional.ization, In addition to •--he physical e;carlination by a physician, Which includes LTscul'i =atlon Of ile£.i "t and lungs, palpation for bre,.ast or abdominal class ^.s (tumors) s?ci_n ins ;cation and evaluation, associc:'' Cd tests are made including urine and blood tests, eye exalAnat!011 for l,laucorla, _nil ins•)ertion of the oral cavity. Cthe"r services include blood pres- surc. ev<^.aus_tion and monito"rin ;, diet sessions for purposes of loWering blood r`ressure. "nese services nr. ^_ the community from care and that when in the hospital bel vital to the Yell being of the elC.l-rly and also to the view that 11adi care does not pay for preventive the above mentioned diseases do develop, long stays :torle ext;•e�cly costly to the corununity: Our Board recognizillg the desirability of increesin.� the sources and amounts of income for the Health Screening Clinic for the Elderly has taken the following steps to sustain ourselves: 1. Enlist the support of individuals and organizations to become "Friends of the Clinic ". Pjailing lists have been compiled of clubs, churches, sync ogues and ;individuals. 2. a.etters with return envelopes have been orci.ered. The various permits applied for (those needed •-to solicit funds): Thank you letters and membership ca?xlsl , have been ordered. 3. A follow -up tole- none committee has been or,anized. t,- A special letter to recipients of Clinic s•c_ ^vi c:a has been sent, indicating to formEr patients the possibility of becoming; a "Friend of the ^..linic" �I't will be explained to new patic.,xits that 47I111e the. -11111C SErV10ES are free, should the recipients of these services desire to make a contribution it will be most gratefully accepted. J, ,.A Spealc ^ -)'S conmi GLEE i1aS been 03' r:nl Zed. �1?hcs G111 V1S1t organ1Za- tions to explain the services of the ^1i11ic and the need for their financial support. 1. `ooDcxa.t -Lon 471"C'tl ti "!e National. Foundation On_ Ag1nF,: 1t11S Or�anl7a- tioll will be riving on- jolly trailz' =n,_ to l e e� d` ; °l_y, he Clinic will dive 1)hysicals to the trainees and .a dolly -t on to' the Clinic will be made by the Foun,lati_on. 7. "o-?riva.te fundincr organizations avc bein;; sou-1,-I'LL and approached for �ddi'cional fundill of t l.e :: "minis. In this res :.ect it can be reported -tb.G Niai_le the Clinic focuses piir_lcrrily on physical nealth, it has r' year r, c been success)_ul ill r eccivin�. . 3 year ,r ant from the State Of Cal1- fo_ilia , which 4:111 res. ?01101 t0 alld DrOVide 'Peer cOL7nS E1111� Sei."V ICES to the elderly. '..'his service is desir ;nec to forestall rester trouble 111 the m1]_dly de7Jre.Ssed Der sons, thus li--t_ln �.n'; t't1C 'aUrden On tilC "tax payer. Tihile this 1s Our first Success Ful effort in - rantc. anSt117 and 1u^ ea'c encour ;!��nt ;'_or 011:c• cont-inued effort; this „rant in no sway T)rOvid('. s financial SUPPOrt for the herein (described free' health screen - in-:, ., -;vices for Qc elderly population we arc now pernan:n; with City funss. 'e woul,'. a,orecia te. any comments that - ou may make. We have consulted At1T ?Ts. Martha. Bro n :-licks who hs.s been t.lost helpful in the past and Vho is researching and hel?ing us rosearch for furthor ;daces where we may a')ply for fundin r. For the Kca lth Screening. Cli Tlic/J Golda G. Larks E� V inD11QAE:; ; .1A LL SERVICES OCT 1 L'_. 1977: A.M. P.M. -7�E�9�10�11�12�1�2I3�415�6 Agenda Item 11 -H: Presented at this time was the staff report transmitting the request of the Santa Monica Bay Area Health Screening Clinic for the Elderly for an amendment to their contract. City Manages Williams reported that when the Council adopted the 1977 -78 budget, $30,000 was set aside for the Clinic, $20,000 of that amount would be considered as contingency funding to be used only if the Clinic could not raise the funds elsewhere and to be authorized for release only if the Clinic was able to demonstrate that other funds were not available. He added that the requested $20,000 would fund Clinic operations only through April, 1977. Golda Larks, representing the Clinic, described the Clinic's immediate financial need and said use of a minimum charge would keep some needy people away and donations are requested instead. She said that United Way and the National Foundation on Aging have pledged funds but it will take some time for funds to be received. Dr. Ralph Sachs, representing the Clinic, said that future income to the Clinic is anticipated through pending Assembly Bills 1611, 1612, and 998, passage of which would make the Clinic eligible for licensing and collection of Medicare payments. Dr. Sachs pointed out that the Clinic provides additional benefits by referring patients to private doctors, participating in research projects, and serving as a model in the State for similar clinics. Lillian B. Rogers, Dr. Fred Judson and Dan Sullivan spoke in favor of making funds available to the Clinic. Discussion ensued during which the Council encouraged the Clinic representatives to diligently continue their efforts to develop outside sources of funding. Councilmember Reed moved to amend the contract with the Santa Monica Bay Area Healt Screening Clinic by Contract No. 2429(CCS) to release $20,000 to cover operating expenses through August, 1978, Second by Councilmember Trives. Council Vote: Unanimously approved 7 -0 j ..