Item C19BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date:
April
16, 2008
Division: Community Services
Bulk Item: Yes
X
No
Department:, Social Services Department
Staff Contact Person/Phone #: Deb Barsell/x4500
AGENDA ITEM WORDING: Approval to advertise Request for Qualifications to determine the
costs of subcontracting with community -based home healthcare agencies for the delivery of direct core
services (e.g., respite, homemaker, personal care, chore, emergency repairs, etc.) in the homes of the
elderly and/or disabled throughout Monroe County.
ITEM BACKGROUND: Monroe County Social Services Department has directly provided in -home
services for the elderly and/or disabled for the past 25+ years. The cost per unit of service is
dependent on the cost of staff and associated benefits. Recently, the Alliance for Aging mandated that
core services be established "by service provider arrangements through a market -based rate setting
approach." In order to meet the requirements of the funding agency, Request for Qualifications must
be advertised in order to determine whether additional units of services to this vulnerable population
could be attained through subcontracting all or part of direct care services offered by the In -Home and
Nutrition Services (IHNS) program countywide. Recently, the Alliance has taken control of several
IHNS waitlists and instituted release by priority score regardless of geographic location or availability
of county direct care staff. In order to be in compliance with waitlist requirements, the County must
have subcontracts in place that can respond when needed to program service demand throughout the
Keys.
PREVIOUS RELEVANT BOCC ACTION: NA
CONTRACT/AGREEMENT CHANGES: NA
STAFF RECOMMENDATIONS: Approval
TOTAL COST: Approx. $800 BUDGETED: Yes X No
COST TO COUNTY: Approx. $800
REVENUE PRODUCING: Yes No
APPROVED BY: County Atty
DOCUMENTATION: Included
DISPOSITION:
SOURCE OF FUNDS: Ad Valorem
AMOUNT PER MONTH Year
OMB/Purchasing Risk Management _
Not Required X
AGENDA ITEM #
Revised 11/06