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Approve a first contract amendment with St. Helena Hospital dba Adventist Health Vallejo for $115,725 for a total contract amount of $199,725 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 first contract amendment with St. Helena Hospital dba Adventist Health Vallejo for $115,725 for a total contract amount of $199,725 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:
A 21-month contract for $84,000 was executed on July 9,2024 with St. Helena Hospital dba Adventist Health Vallejo to provide 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 the facility. This first contract amendment increases the total contract amount to $199,725 and will provide for the continuation of clinical and medical services that are recognized and accepted for the diagnosis and treatment of behavioral disorders or psychological injuries.
FINANCIAL IMPACT:
The contract amendment will be funded with 1991 and 2011 Realignment. Appropriations are available in the FY2024/25 Working Budget. The costs of preparing this agenda item are nominal and are absorbed by the Department’s 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 abuse 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. Though the average bed days per patient decreased by 16% between FY2022/23 and FY2023/24, the number of admissions increased by 54%. This upward trend is anticipated to continue into FY2024/25 because of increased placements from local emergency departments. This contract amendment will provide for approximately 55 additional bed days for these patients.
ALTERNATIVES:
The Board may choose not to approve the contract amendment. This is not recommended as it could pose risk to individuals requiring inpatient psychiatric hospitalization.
OTHER AGENCY INVOLVEMENT:
None.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION