Health Administration (5500P)

Outcome Statement

Provide leadership and management for a successful County Health.

Program Services

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


Administration provides strategic and tactical direction for County Health 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 Health. 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. In fiscal year 2019-20, we will expanded our process improvement method to include an assessment of the return on improvements.
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 County Health including: master planning for the San Mateo campus; Cordilleras replacement; feasibility studies for the South San Francisco campus; and the replacement of the Animal Shelter at Coyote Point.

Percent of Customer Survey Respondents Rating Services as Good or Better Below Target

Average Costs per Capita

Percent of Performance Goals Met System-Wide Below Target

FY 2019-20 Mid-Year Story Behind Performance

Percent of Customer Survey Respondents Rating Services Good or Better

The customer satisfaction survey solicits feedback from internal customers within the department. Health Administration received favorable results from the survey in which 97 percent of respondents rated the overall success of Health Administration in meeting their needs as excellent or good for FY 2019-20.

Average Costs per Capita

At mid-year, it is estimated that the average costs per capita for Health will be less than the target as a result of salary and benefit savings due to vacancies and project delays that are expected to push into fiscal year 2020-21.
This measure will be updated at year-end for FY 2019-20.

Percent of Outcome and Efficiency Performance Goals and Benchmarks met System-wide
Health met 72 percent of the performance goals and targets. Performance results in all areas that fell below the target will be reviewed to identify areas for improvement and develop plans to increase performance.
This measure will be updated at year-end for FY 2019-20

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.
  • Continuing working towards a sustainable financing plan.  County Health currently has a structural budget deficit for FY 20-21 in the amount of $57M.  A study session is scheduled with the Board of Supervisors on January 28, 2020 to discuss options.

Author: Gina Wilson, Chief Financial Officer, County Health      Contact Email:    
Last Updated: 01-24-2020