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 and Recovery Services
Subject: Agreement with BHC Fremont Hospital, Inc. dba Fremont Hospital for Psychiatric Inpatient Hospital Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with BHC Fremont Hospital, Inc. dba Fremont Hospital for psychiatric inpatient hospital services for the term of July 1, 2021 through June 30, 2023, in an amount not to exceed $1,750,000.
body
BACKGROUND:
Since 2000, the County has contracted with Mills Peninsula Hospital and John Muir Behavioral Health Center for psychiatric inpatient hospital services in the northern part of the County. Behavioral Health and Recovery Services (BHRS) would like to enter into an agreement with BHC Fremont Hospital, Inc. dba Fremont Hospital (BHC Fremont) to cover the southern part of the County for emergency admissions and/or when San Mateo Medical Center is full.
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 BHC Fremont 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.
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. This agreement is coming to your Board late due to rate negotiations.
It is anticipated that less than 12% of clients who receive psychiatric inpatient hospital services will be re-admitted within 30 days of discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 |
FY 2022-23 |
|
Percentage of clients receiving psychiatric inpatient hospital services that are re-admitted within 30 days of discharge |
10% 30 Clients |
< 12% 36 Clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2021 through June 30, 2023. The amount of the agreement is not to exceed $1,750,000, for the two-year term. Funds in the amount of $875,000 have been included in BHRS FY 2021-22 Recommended Budget. Of that amount, it is anticipated that 100% will be funded from the 1991 Realignment. Similar arrangements will be made for future years.