Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health & Recovery Services
Subject: Agreement with John Muir Behavioral Health Center for Psychiatric Inpatient Hospital Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with John Muir Behavioral Health Center for psychiatric inpatient hospital services for the term July 1, 2020 through June 30, 2022, in an amount not to exceed $2,000,000.
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BACKGROUND:
Since 2002, the County has contracted with John Muir Behavioral Health Center (John Muir) for psychiatric inpatient hospital services. Behavioral Health and Recovery Services (BHRS) also contracts with Mills-Peninsula Medical Center and Fremont Hospital for these services. These services are used to accommodate emergency admissions when San Mateo Medical Center is full. BHRS would like to renew the agreement with John Muir Behavioral Health Center.
Under the B-1 Administrative Memorandum, the selection of providers delivering inpatient psychiatric hospital services for mental health clients is exempt from the Request for Proposals requirement. In order to improve service capacity, BHRS may contract for psychiatric inpatient hospital services with any willing qualified provider.
DISCUSSION:
The agreement with John Muir is based on fee-for-service rates, which include psychiatric inpatient hospital services for Medi-Cal covered youth and adults, as well as psychiatric inpatient hospital services for uninsured youth and adults. Administrative Day rates, which are set by the State, are also included. Only services authorized by BHRS will be paid.
John Muir is part of a three-hospital network in the East Bay with five outpatient clinics, five Urgent Care Centers, and two Surgery Centers, so when it comes to COVID-19 precautions, John Muir surpasses the hospital level standard of practices, including a six-prong safety measures program. This includes Video Visits, Physical Distancing, Cleaning & Disinfecting, Universal Masking, Temperature & Symptom Screening, and Visitor Restrictions. This includes separate treatment areas for COVID+/Suspect+ and non-COVID in all three hospitals including the emergency rooms, pre-screening prior to visits with diversion to video visits, behavioral health patients that exhibit COVID symptoms are immediately transferred to their hospital for treatment, and all Behavioral Health Facilities are cleaned & disinfected frequently, especially high touch surfaces, furniture, and even pens. Behavioral health program rooms are cleaned every break and each evening, as are living quarters.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form. This agreement is late due to prolonged contract negotiations and is on the Continuing Resolution.
It is anticipated that no more than 12% of clients who receive psychiatric inpatient hospital services will be re-admitted within 30 days of discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Actual |
FY 2020-21 Projected |
|
Percentage of clients who are re-admitted within 30 days of discharge |
12% 30 clients |
12% 30 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2020 through June 30, 2022. The amount of the agreement is not to exceed $2,000,000 for the two-year term. $1,000,000 is included in the BHRS FY 2020-21 Recommended Budget. Of that amount, it is anticipated that $900,000 will be funded from 1991 Realignment and $100,000 will be Net County Cost. Similar arrangements will be made for future years. The payment provisions and levels of services in the agreement are essentially the same as the prior agreement.