Title
a. Support request to amend the Health Department FY 2023-24 Adopted Budget to increase appropriations and estimated revenue by $211,184.05 in the Emergency Medical Services Bureau 001-4000-8109-HEA006, funded by grant revenues from the Department of Healthcare Services (DHCS) via the Public Health Institute (PHI) under the CA Bridge Program; and
b. Support directing the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2023-24 Health Department Adopted Budget.
Report
RECOMMENDATION:
It is recommended that the Budget Committee:
a. Support request to amend the Health Department FY 2023-24 Adopted Budget to increase appropriations and estimated revenue by $211,184.05 in the Emergency Medical Services Bureau 001-4000-8109-HEA006, funded by grant revenues from the Department of Healthcare Services (DHCS) via the Public Health Institute (PHI) under the CA Bridge Program; and
b. Support directing the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2023-24 Health Department Adopted Budget.
SUMMARY/DISCUSSION:
Pursuant to California Health and Safety Code, Section 1797 et seq., the County of Monterey EMS Agency is responsible for EMS system coordination, medical oversight, and coordination of the delivery of EMS by provider organizations in Monterey County.
In 2022, the County of Monterey EMS Agency entered into a three-county collaborative with the County of Santa Cruz and the County of San Benito to support the ongoing efforts to address substance use disorder (SUD) as a treatable emergency condition. Through the Buprenorphine program, paramedics responding to medical emergency calls will be able to identify and treat patients who may benefit from medication-assisted treatment (MAT).
In 2023, the Department of Health Care Services (DHCS) informed the three counties of funding available for this program. The total grant amount of $375,000 will be allocated among the participating three counties based on population percentage. This grant will support overall program and grant management costs related to the administration of buprenorphine to patients in opioid withdrawal or following a near-fatal opioid overdose and linking these patients to needed services.
Both the Monterey County Emergency Medical Care Committee (EMCC) and its Medical Advisory Subcommittee (MAC) endorsed this program in late 2022. Similarly on Dec 14, 2022, the CA State EMS Authority approved the tri-county Buprenorphine program as a Local Scope of Practice through December 31, 2025.
This work supports the Monterey County Health Department 2018-2022 Strategic Plan Goal 2 (Enhance public health and safety through prevention) and Goal 4 (Engage Health Department workforce and improve operational functions to meet current and developing population health needs). It also supports the following of the ten essential public health services, specifically, (Monitor health status to identify and solve community health problems; Mobilize community partnerships and action to identify and solve health problems; and Link people to needed personal health services and assure the provision of health care when otherwise unavailable).
OTHER AGENCY INVOLVEMENT:
No other agencies were involved.
FINANCING:
There will be no impact to the General Fund from this action.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐ Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐ Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒ Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐ Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐ Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Korina Moreno, Administrative Services Assistant, 755-6344
Approved by:
___________________________________Date______________________
Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report