Title
Approve and authorize the Director of Health or Assistant Director of Health to execute a no-extension Amendment No. 2 to Mental Health Services Agreement A-12760 with Medical Hill Rehabilitation Center, LLC dba Medical Hill Rehabilitation for the provision of skilled nursing services for organic brain syndrome, traumatic brain injured, and medically debilitated patients, and to add a Private Room provision and rate, increasing Fiscal Year (FY) 2016-17 by $41,226 and FY 2017-18 by $116,004, for a new maximum County obligation of $3,017,875 for the full term of July 1, 2015 through June 30, 2018.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health or Assistant Director of Health to execute a no-extension Amendment No. 2 to Mental Health Services Agreement A-12760 with Medical Hill Rehabilitation Center, LLC dba Medical Hill Rehabilitation for the provision of skilled nursing services for organic brain syndrome, traumatic brain injured, and medically debilitated patients, and to add a Private Room provision and rate, increasing Fiscal Year (FY) 2016-17 by $41,226 and FY 2017-18 by $116,004, for a new maximum County obligation of $3,017,875 for the full term of July 1, 2015 through June 30, 2018.
SUMMARY/DISCUSSION:
Medical Hill Rehabilitation Center, LLC dba Medical Hill Rehabilitation is a mental health rehabilitation center for adults with psychiatric impairments and disabilities that require a locked skilled nursing level of care. The services of Medical Hill Rehabilitation are necessary to maintain medical continuity of critical mental health care services provided to severe mentally ill adult patients currently placed in this facility located in Oakland, California. Medical Hill Rehabilitation Center, LLC offers a specialized care program that provides skilled nursing services to organic brain syndrome, traumatic brain injured, and medically debilitated patients.
Medical Hill Rehabilitation Center, LLC is a Medi-Cal Free-Standing Nursing Facilities Level B (NF-B) facility designated as an Institution for Mental Disease (IMD). Assembly Bill 1054 (Statutes of 2013, Chapter 303) mandates an annual increase of 3.5 percent for these facilities effective July 1, 2014 and subject to change upon revised notice.
This Amendment No. 2 with Medical Hill Rehabilitation Center, LLC adds a Private Room rate effective February 18, 2017, which was put in place on that date to meet the immediate clinical needs of a Monterey County client, who has subsequently substantially benefited from the isolation afforded by the Private Room. There are no changes to the nursing services provided under the terms of the existing Agreement with Medical Hill. As outlined in the “Financing” section below, the required FY 2016-17 funds for this Agreement are included in the FY 2017-18 Adopted Budget.
This Agreement contains the County’s standard 30-day “no cause” provision (Section IV, B) and an additional defunding provision (Section IV, D), which provides the County the ability to amend or terminate the Agreement in the event of a reduction and/or termination of funding.
This work supports the following Monterey County Health Department 2011-2015 strategic plan initiative: 3) Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one of the ten essential public health services, specifically: 7) Link people to needed personal health services and assure the provisions of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
County Counsel and Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is 100% funded by 1991 Realignment funding. The funds for this Agreement ($41,226 for FY 2016-17 and $1,041,652 for FY 2017-18) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2017-18 Adopted Budget.
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: Norm Morris, Management Analyst II, 1277
Approved By: Elsa M. Jimenez, Director of Health, 4526
Attachments:
Amendment No. 2 is on file with Clerk of the Board
Amendment No. 1 is on file with Clerk of the Board
Agreement A-12760 is on file with Clerk of the Board