title
Approve a first contract amendment with Sierra Vista Hospital for $190,000, for a total contract amount of $475,000, to provide additional psychiatric medical services in the current contract period through June 30, 2020; Authorize the County Administrator to execute the amendment; and Approve an Appropriation Transfer Request (ATR) in the amount of $190,000 to recognize 1991 and 2011 Realignment revenue to fund the amendment (4/5 vote required)
body
Published Notice Required? Yes _____ No __X__
Public Hearing Required? Yes _____ No __X__
DEPARTMENTAL RECOMMENDATION:
The Department of Health & Social Services (H&SS) recommends that the Board approve a contract amendment with Sierra Vista Hospital for $190,000 for a total contract amount of $475,000 to provide additional psychiatric medical services in the current contract period through June 30, 2020; Authorize the County Administrator to execute the amendment; and Approve an ATR in the amount of $190,000 to recognize 1991 and 2011 Realignment revenue to fund the amendment (4/5 vote required).
SUMMARY:
Sierra Vista Hospital is a full service mental health facility providing inpatient and outpatient psychiatric services. Under the current contract, Sierra Vista Hospital provides assessment, diagnosis, and acute psychiatric inpatient treatment services for Solano County clients in a 24-hour secure setting. Individuals are typically admitted to Sierra Vista Hospital when placed on a Welfare and Institution (W&I) Code section 5150 indicating that the individual is a danger to self, others, or gravely disabled due to a mental illness. This first amendment provides for an additional 194 acute psychiatric bed days and maintains the County’s ability to remain WIC 5150 compliant.
FINANCIAL IMPACT:
The contract amendment will be funded with 1991 and 2011 Realignment funds, as services provided by this facility are not Medi-Cal billable. An ATR in the amount of $190,000 is recommended to recognize revenues to fund the amendment in the FY2019/20 Working Budget (4/5 vote required). The costs associated with preparing the agenda item are nominal and absorbed by the department’s FY2019/20 Adopted Budget. There is no additional financial impact to the County General Fund.
DISCUSSION:
On June 26, 2018, the Board of Supervisors approved a $285,000 utilization-based contract with Sierra Vista Hospital for the period beginning July 1, 2018 through June 30, 2020. To maintain an effective inpatient system of care, Health & Social Services contracts with hospitals and psychiatric health facilities that flexibly accept and treat individuals who are placed under a Welfare and Institution Code Section 5150 hold. The inpatient admissions typically range between ten and fourteen days in length, with primary focus on locating the appropriate level of care for an individual with persistent mental illness.
This amendment is necessary to provide the continuation of psychiatric services for mental health clients and represents ongoing services through June 30, 2020 and is the first contract amendment for Sierra Vista Hospital.
ALTERNATIVES:
The Board may choose not to approve the contract amendment for Sierra Vista Hospital. This is not recommended as the County is mandated to provide psychiatric services for clients served in the County mental health system. This amendment will ensure continued inpatient psychiatric hospitalization services.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved the contract for legal sufficiency.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION