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Approve a third contract amendment with St. Helena Hospital dba Adventist Health Vallejo for $281,500 for a total contract amount of $1,287,996 to provide acute psychiatric inpatient services for the current period through June 30, 2025; and Delegate authority to the County Administrator to execute the amendment and any subsequent amendments, with County Counsel concurrence, up to an aggregate of $74,999
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Published Notice Required? Yes _____ No __X__
Public Hearing Required? Yes _____ No __X__
DEPARTMENTAL RECOMMENDATION:
The Department of Health and Social Services (H&SS) recommends that the Board of Supervisors approve a third contract amendment with St. Helena Hospital dba Adventist Health Vallejo for $281,500 for a total contract amount of $1,287,996 to provide acute psychiatric inpatient services for the current period through June 30, 2025; and delegate authority to the County Administrator to execute the amendment and any subsequent amendments, with County Counsel concurrence, up to an aggregate of $74,999.
SUMMARY:
St. Helena Hospital dba Adventist Health Vallejo provides acute psychiatric inpatient treatment services for Solano County Medi-Cal beneficiaries or indigent clients who are referred by Solano County Behavioral Health. Over the last few months there has been an increase in referrals/admissions to this facility. This third contract amendment will provide for the continuation of services that are recognized and accepted for the diagnosis and treatment of behavioral health disorders or psychological injuries through June 30, 2025.
FINANCIAL IMPACT:
This contract amendment will be funded by 2011 and 1991 Realignment. Appropriations are available in the FY2024/25 Working Budget. There is no additional impact to the County General Fund.
DISCUSSION:
Locked Inpatient psychiatric hospitals are essential in providing a structured, therapeutic clinical environment to effectively and rapidly treat children, adolescents, adults, and older adults suffering from acute psychiatric issues. Clients receive an initial assessment, diagnosis, and rapid stabilization of acute psychiatric and co-occurring disorders (psychiatric and substance use disorders) with intensive physician involvement and oversight, a physician-led multidisciplinary treatment team, an individualized client treatment plan, therapeutic groups, educational classes, and comprehensive care coordination and discharge planning, including a smooth transition to less intensive, appropriate levels of follow-up care and support.
Obtaining an available inpatient psychiatric hospital bed remains a challenge as overall demand continues to increase and outpace the number of beds across the State. Over the last few months, inpatient psychiatric stabilization service utilization at this facility has seen a significant increase. In FY2023/24, admissions averaged one client per month with an average stay of 5 - 7 days. Current admissions are averaging eight clients per month with an average stay of 7 - 10 days per client. While placements from local emergency departments have slowed, utilization has not slowed to the degree anticipated. To sustain continued utilization through the conclusion of the current fiscal year requires an increase of 134 additional bed days for these clients.
The original contract with St. Helena dba Adventist Health Vallejo for the period of September 29, 2023 through June 30, 2025 was $84,000. The first amendment increased the contract by $115,725 and was approved by the Board on October 8, 2024. The second amendment increased the contract by $806,771 and was approved by the Board on April 1, 2025. This third amendment increases the contract by $281,500 for a new total contract amount of $1,287,996.
ALTERNATIVES:
The Board may choose not to approve the contract amendment. This is not recommended as it could pose a risk to individuals requiring inpatient psychiatric hospitalization.
OTHER AGENCY INVOLVEMENT:
None.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION