Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Stephen Kaplan, Director, Behavioral Health & Recovery Services
Subject: Agreement with Lena Osher, M.D. for Psychiatric Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Lena Osher, M.D. for psychiatry services, for the term July 1, 2017 through June 30, 2020, in an amount not to exceed $808,704.
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BACKGROUND:
There has been a shortage of adult and child psychiatrists in California and in the nation for the past several years. Behavioral Health and Recovery Services (BHRS) has found it difficult to fill child psychiatrist positions in San Mateo County due to the high cost of living. BHRS runs advertisements for specialty psychiatric services on a regular basis in the Northern California Psychiatric Newsletter and other venues as needed. Dr. Osher was selected from candidates who responded to those advertisements in 2003 and has contracted with BHRS since that time.
DISCUSSION:
Dr. Osher will provide psychiatry services for children and youth at Canyon Oaks Youth Center and other County Mental Health Clinics. The services shall include child and youth medication evaluation and treatment, psychotherapy, family consultation, and case consultation to staff.
Under the Administrative Memorandum B-1, agreements with physicians are exempt from the requirement for a Request for Proposals process.
The resolution contains the County’s standard provisions allowing amendments of the County’s fiscal obligation by a maximum of $25,000 (in aggregate).
Dr. Osher will provide psychiatry services for children and youth at Canyon Oaks Youth Center and other County Mental Health Clinics. The services shall include child and youth medication evaluation and treatment, psychotherapy, family consultation, and case consultation to staff.
Under the Administrative Memorandum B-1, agreements with physicians are exempt from the requirement for a Request for Proposals process.
The resolution contains the County’s standard provisions allowing amendments of the County’s fiscal obligation by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing psychiatry services in San Mateo County. It is anticipated that 80% of clients served will maintain their current or lower level of care.
PERFORMANCE MEASURES:
|
Measure |
FY 2017-18 Estimated |
FY 2018-19 Projected |
|
Percentage of clients maintained at current or lower level of care |
80% |
80% |
|
|
|
|
FISCAL IMPACT:
The term of the agreement is July 1, 2017 through June 30, 2020. The maximum obligation is $808,704 for the three-year term. For FY 2017-18 the budgeted maximum is $269,568. Of that amount, it is anticipated that $133,851 will be funded by Federal Medi-Cal; $1,865 will be funded by private insurance; $107,082 will be funded by 2011 Realignment for Early Periodic Screening, Diagnosis and Treatment (EPSDT); and $26,770 will be funded by 1991 Realignment. There is no Net County Cost. The payment provisions and levels of service in the agreement are essentially the same as the prior agreement. Funds in the amount of $269,568 are included in the BHRS FY 2017-18 Recommended Budget. Similar arrangements will be made for future years.