Title
Approve and authorize the Director of Health Services or their designee to execute an Amendment No. 1 to three-year Mental Health Services Agreement A-15377 with the Community Hospital of the Monterey Peninsula (CHOMP) for the addition of Crisis Stabilization Unit (CSU) services, adding $1,542,860 to FY 2023-24 for a new maximum County obligation of $1,878,380 retroactive to July 1, 2023, for the same full term of July 1, 2021 through June 30, 2024.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health Services or their designee to execute an Amendment No. 1 to three-year Mental Health Services Agreement A-15377 with the Community Hospital of the Monterey Peninsula (CHOMP) for the addition of Crisis Stabilization Unit (CSU) services, adding $1,542,860 to FY 2023-24 for a new maximum County obligation of $1,878,380 retroactive to July 1, 2023, for the same full term of July 1, 2021 through June 30, 2024.
SUMMARY/DISCUSSION
On June 30, 2021 the County entered into a three-year Mental Health Services Agreement No. A-15377 with the Community Hospital of the Monterey Peninsula (CHOMP) in the amount of $335,520 for the term of July 1, 2021 to June 30, 2024 for the provision of mental health services for Monterey County adult residents with severe psychiatric disabilities in a Hospital Inpatient and Day Treatment Intensive Services model on an Inpatient Fee-for-Service Medi-Cal program.
This Amendment No. 1 to that Agreement continues the provisions for Hospital Inpatient and Day Treatment Intensive Services, however, also adds needed Crisis Stabilization Unit (CSU) services to that Agreement, effective in the third year and retroactive to July 1, 2023, coinciding with the opening of a new CSU facility at CHOMP. This Amendment to Agreement A-15377 increases the total COUNTY obligation by $1,542,860 for FY 2023-24 for a revised total contract amount of $1,878,380.
The goal of the CSU is to treat and stabilize patients seen at the Emergency Department, who are likely to reconstitute and be appropriate for discharge within 24 hours, in a more therapeutic location to support medication adjustments and psychiatric support services outside of the Emergency Department. An initial psychiatric diagnostic assessment will be conducted, followed by treatment with a period of observation, staff-patient engagement, clinical reassessment, and concurrent resource/disposition planning.
This Amended 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 2018-2024 strategic plan goal: 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:
The Office of the County Counsel and Auditor-Controller have reviewed and approved this Agreement as to form and fiscal provisions, respectively.
FINANCING:
This Agreement is funded by 1991 and 2011 Realignment revenues. The funds for this Amended Agreement ($1,657,520) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2023-24 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, 796-1277
Approved by:
______________________________Date:_________
Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachment:
Agreement