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: Amendment to the Agreement with Helios Healthcare, LLC for Residential Rehabilitation and Long-Term Care Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Helios Healthcare, LLC for residential rehabilitation and long-term care services, increasing the maximum amount by $836,710 to $1,755,710 with no change to the term of the agreement.
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BACKGROUND:
On September 22, 2015, your Board approved an agreement with Helios Healthcare, LLC (Helios) to provide residential rehabilitation and long-term care services, for the term July 1, 2015 through June 30, 2018, in the amount of $894,000.
On August 1, 2016, the Chief of the Health System approved a first amendment to the agreement to increase the bed rate effective July 1, 2016, with no change to the maximum obligation or term of the agreement.
On January 12, 2017, the Chief of the Health System, approved second amendment to the agreement increasing the number of beds from 11 to 12 for difficult to place clients, increasing the amount of the agreement by $25,000 to $919,000, with no change to the term of the agreement.
Under the B-1 Administrative Memorandum, the selection of providers for long-term locked facility services is exempt from the Request for Proposals requirement.
DISCUSSION:
It is now necessary to amend the agreement to increase the total number of beds from 12 to 17. The contractor will continue to provide services to the San Mateo County Health System, Behavioral Health and Recovery Services (BHRS) and Aging and Adult Services (AAS). The number of BHRS beds will increase from 6 to 11 for clients who are seriously mentally ill and in need of mental health rehabilitation, treatment and long-term care. The number of AAS beds will remain the same: 6 skilled nursing facility beds for clients who are probate dementia conservatees and who require a locked long-term treatment setting. Services provided through this agreement offer an alternative to the use of more costly hospital emergency services, inpatient hospital admissions and correctional facilities.
The amendment and resolution have been reviewed and approved by County Counsel as to form.
This amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by providing residential rehabilitation and long-term care for the vulnerable population of adults suffering from serious mental illness. It is anticipated that no more than 25% of all discharges will be to an acute psychiatric level of care.
PERFORMANCE MEASURE:
FISCAL IMPACT:
The term of the agreement is July 1, 2015 through June 30, 2018. The amount of the agreement is being increased by $836,710 to $1,755,710. Of the latter amount, $1,236,710 is for BHRS and $519,000 is for AAS.
The maximum amount for BHRS is being increased by $311,710 to $634,710 for FY 2016-17 and is funded as follows: $280,539 from Sales Tax Realignment, and $31,171 from Net County Cost. These funds are included in the BHRS FY 2016-17 Adopted Budget.
There is no change to the maximum amount or term of the agreement for AAS.