Health (5000D)


Health helps San Mateo County residents live longer and better lives.

Department Headline Measures

Percent of San Mateo County 7th Graders Meeting 6 out of 6 Physical Fitness Standards Meeting Target

Life Expectancy by Race and Ethnicity

The 7-year gap between African American life expectancy and countywide ("All") life expectancy shown in the chart above reinforces the need to address inequitable health outcomes for African Americans.

Budget Summary

FY 2017-18

  • Total Sources: $695,003,790
  • Total Requirements: $845,317,847
  • Net County Cost: $150,314,057
  • Funded FTEs: 2,088

FY 2018-19

  • Total Sources: $728,873,032
  • Total Requirements: $885,377,835
  • Net County Cost: $156,504,803
  • Funded FTEs: 2,091

Program Results

Number of San Mateo County Residents Enrolled in Covered California Exceeding Target

Number of San Mateo County Residents Enrolled in Medi-Cal though ACA Expansion Below Target

Number of Patients Assigned to SMMC by HPSM Who Have Not Been Seen Exceeding Target

Percent of Requests for San Mateo County Mental Health Assessment and Referral Team (SMART) Program Services that are Responded to by a SMART Paramedic Below Target

Percent of Emotionally Disturbed Young Adults Receiving Full Service Partnership Services who Experience a Reduction in Days Hospitalized Reflects Program Maturity

Administrative Measures

Percent of Performance Goals Met Below Target

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

Average Costs per Capita Compared to Bay Area Counties Exceeding Target

Percent of Employees Rating Experience Working for the County as Good or Better Exceeding Target

Percent of Employee Evaluations Completed Annually Below Target - New Evaluation Pilot Underway

Percent of Employees Meeting 20 Hour Training Requirement Below Target

FY 2015-17 Highlights

  • Ranked Healthiest county by the Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute.
  • Completed implementation of the color coded (green, yellow, red) restaurant inspection signage system throughout San Mateo County.
  • Became the first county in the State to implement the Drug Medi-Cal Organized Delivery System, which will increase Federal revenue to support substance abuse treatment and offer other clients a full continuum of care that supports long-term recovery.
  • Implemented an "Everyone Every Day" system that already involves 700 plus Health System staff in immediate identification and root-cause problem solving for harm/risk of harm issues; spread problem-solving huddles to 14 additional work areas; and engaged 120 staff through 12 week-long improvement events.
  • Implemented the Elder and Dependent Adult Protection Team (EDAPT) with County Measure K Funds, forging a critical partnership between the Health System, County Counsel, District Attorney, and the community, providing 150 community outreach/training events.

FY 2017-19 Priorities

  • Adapt to federal policy and potential budget changes that reduce the role or capacity of government in promoting health.
  • Build support for policies that build healthy and equitable communities so that all residents can live longer and happier lives regardless of income level or where they live.
  • Continue to develop Patient Centered Medical Homes to engage our patients effectively.
  • Further develop capacity to care for the health needs of inmates at the highest level of acuity.
  • Evolve “Whole Person Care” pilot targeting 2,000 adult clients/patients with medical and behavioral health challenges to deliver the right services at the right time in the right setting to effectively engage and address their complex needs.
  • Partner with the Project Development Unit on the advancement of major capital projects including Cordilleras, Animal Shelter, San Mateo Campus, and South San Francisco to improve service to our clients and remain a great place to work for our staff.

Links to program reports

Author: Gina Wilson, Chief Financial Officer     Contact Email:     Last Updated: 08-27-2018