Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
David Young, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Crestwood Behavioral Health for Residential Rehabilitation and Long Term Care Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Crestwood Behavioral Health for residential rehabilitation and long-term care services, increasing the amount of the agreement by $1,435,000 to an amount not to exceed $6,781,000 with no change to the term of the agreement.
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BACKGROUND:
On September 22, 2015, your Board approved an agreement with Crestwood Behavioral Health for residential rehabilitation and long-term care services, in the amount of $5,346,000, for the term July 1, 2015 through June 30, 2018.
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:
Crestwood Behavioral Health (Crestwood) will continue to provide services to both Behavioral Health and Recovery Services (BHRS) and Aging and Adult Services (AAS) divisions of San Mateo County’s Health System. Specifically, Crestwood’s network of facilities provides up to 44 beds for BHRS clients who are seriously mentally ill and in need of mental health rehabilitation, treatment, and long-term care. Crestwood also provides up to 8 skilled nursing facility beds for AAS clients who are probate dementia conservatees of the San Mateo County Public Guardian and who require a long-term care setting. Services provided through this agreement offer an alternative to the use of more costly hospital emergency services, inpatient hospital admissions and correctional facilities.
It is now necessary to amend this agreement for BHRS to purchase 4 dedicated beds at Crestwood’s San Jose Psychiatric Health Facility (PHF), as a less costly alternative to beds with other providers. Purchasing these beds guarantees their availability. These beds will be managed by Psychiatric Emergency Services (PES), as back up to 3A/B at San Mateo Medical Center (SMMC). Additionally, should PES be able to predict availability, the beds could be transferred to other counties in need of placement, and those counties would be billed the same rates by PHF and BHRS would be credited (not charged for those days).
The amendment and resolution have been reviewed and approved by County Counsel as to form.
Approval of this amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by providing residential rehabilitation and long-term care to the vulnerable population of adults suffering from serious mental illness. It is anticipated that 68% of clients will be maintained at a current of lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Percentage of clients maintained at current or lower level of care |
68% 8 Clients |
68% 11 Clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2015 through June 30, 2018. The amount of the amended agreement is not to exceed $6,781,000; the amendment increases the contract amount by $1,435,000. Of that amount, $1,291,500 will be funded by sales tax provided through Realignment; and $143,500 will be Net County Cost. Funds for these services are included in the BHRS FY 2017-18 Adopted Budget.