Health System: Health Administration (5500P)

Outcome Statement

Provide leadership and management for a successful Health System.

Program Services

-Strategic Direction and Management
-Fiscal Oversight
-Administrative Oversight
-LEAP Process Improvement
-Continuing Medical Education


Administration provides strategic and tactical direction for the Health System to achieve its mission to help San Mateo County’s residents live longer and better lives.
Health Administration monitors the changing landscape of health care reform and other federal and state policy with key partners in order to be prepared for future risks and opportunities that may impact the systems of care for publicly uninsured San Mateo County residents.
Health Administration continues to support the expansion of the LEAP (Learn, Engage, Aspire, Perfect, formerly known as LEAN) process improvement method from San Mateo Medical Center, where we have had good success, to other parts of the Health System. LEAP uses methodologies proven in many other industries to increase quality and quantity of services while keeping costs down. This methodology involves employees, including line staff, supervisors and managers of a particular process, and asks them to identify solutions to vexing problems using a very structured method of inquiry and trial of solutions. By involving our employees in fixing problems that plague them in their daily work, we are improving the patient/client/customer experience while also improving employee engagement.
Health Administration is partnering with the Project Development Unit and the Department of Public Works on planning and executing major capital projects to support the work of the Health System including: master planning for the San Mateo campus; Cordilleras replacement; feasibility studies for the South San Francisco campus; renovation of Serenity House on the San Mateo campus; and, the replacement of the Animal Shelter at Coyote Point.

Percent of Customer Survey Respondents Rating Services as Good or Better Expected to Meet Target

Percent of Health System Employees Evaluations Completed Annually Below Target - New Evaluation Pilot Underway

Average Costs per Capita Compared to Bay Area Counties Exceeding Target

Percent of Performance Goals Met System-Wide Meeting Target

FY 2017-18 Mid-Year Story Behind Performance

Percent of Stakeholder Systemwide Respondents Rating Services Good or Better

The percent of stakeholders systemwide rating Health Administration services as good or better has consistently met or exceeded the target. We expect to meet or exceed the target for fiscal year 2017-18 as well. However, we are currently revising the customer satisfaction survey for Administration. Results for fiscal year 2017-18 will be reported at year-end.

Percent of Health System Employees Evaluations Completed Annually

This measure is not currently applicable as portions of the Health System are participating in a county-wide performance evaluation pilot that replaces the traditional Annual Performance Review process with regular supervisor-employee meetings that occur at least every other week.  During these meetings supervisors provide feedback on projects/tasks and employees have the opportunity to ask for the support, resources, or guidance needed to be successful.

Average Costs per Capita Compared to Bay Area Counties

At mid-year, actual costs per capita for the Health System were below budget, primarily due to salary and benefit savings from vacancies and lower service and supplies expenses year-to-date than budgeted.  We expect actual costs for the year to be close to the target of $558 per capita.
Percent of Outcome and Efficiency Performance Goals and Benchmarks met System-wide

The Health System expects to meet or exceed 76 percent of outcome and efficiency performance goals and benchmarks by fiscal year 2017-18 year end, exceeding the target of 75 percent.

Future Priorities

  • Changing policies in San Mateo to make the healthy choice the easiest choice, with particular efforts in getting more people active through promoting walking, biking and public transit for short trips, reducing the consumption of sugar-sweetened beverages, and reducing our collective contribution to climate change.
  • Working closely with the Project Development Unit and Department of Public Works to continue to progress on capital projects that form the infrastructure for state of the art health services of the future for the most vulnerable San Mateo County residents.
  • Leveraging Whole Person Care resources and key partners, such as the Health Plan of San Mateo and Human Services Agency, to engage complex individuals with multiple, co-occurring illnesses in organized systems of care, housing and other supports they need to live independently in the community.

Author: Gina Wilson, Chief Financial Officer, Health System     Contact Email:    
Last Updated: 03-29-2018