Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health, and Recovery Services
Subject: Agreement with John Muir Behavioral Health Center for Acute Psychiatric Inpatient Hospital Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with John Muir Behavioral Health Center for acute psychiatric inpatient hospital services for the term of January 1, 2023, through June 30, 2024, in an amount not to exceed $2,000,000, in aggregate with all other hospitals that have contracted with Behavioral Health and Recovery Services.
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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 contract 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.
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, including psychiatric inpatient hospital services for Medi-Cal-covered youth and adults and psychiatric inpatient hospital services for uninsured youth and adults. Administrative Day rates, which the State sets, are also included. Only services authorized by BHRS will be paid.
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 the County Attorney as to form. This agreement is late due to prolonged contract negotiations.
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 2021-22 Actual |
FY 2022-23 Estimated |
|
Percentage of clients who receive psychiatric inpatient hospital services that are re-admitted within 30 days of discharge |
12% 30 clients |
≤12% ≤30 clients |
FISCAL IMPACT:
The term of the agreement is January 1, 2023, through June 30, 2024. The amount of the agreement is not to exceed $2,000,000 for the 18-month term. $666,667 is included in the BHRS FY 2022-23 Adopted Budget. Of that amount, $600,000 will be funded from 1991 Realignment, and $66,667 will be Net County Cost. Similar arrangements will be made for future years. The payment provisions and levels of services in the agreement are the same as the prior agreement.