Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute Amendment 1 to the Agreement with University Corporation at Monterey Bay (CONTRACTOR), and the County of Monterey (Health) to operate the Community Health Engagement program (CHE), extend the term by ten (10) months, for a revised full term of January 1, 2021 through December 31, 2021, and increasing the Agreement by $319,902, for a total not to exceed $419,580; and
b. Approve and authorize the Director of Health or Assistant Director of Health to sign up to three (3) future amendments to this Agreement where the amendments do not significantly change the Agreement herein.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to execute Amendment 1 to the Agreement with University Corporation at Monterey Bay (CONTRACTOR), and the County of Monterey (Health) to operate the Community Health Engagement program (CHE), extend the term by ten (10) months, for a revised full term of January 1, 2021 through December 31, 2021, and increasing the Agreement by $319,902, for a total not to exceed $419,580; and
b. Approve and authorize the Director of Health or Assistant Director of Health to sign up to three (3) future amendments to this Agreement where the amendments do not significantly change the Agreement herein.
SUMMARY/DISCUSSION:
Whole Person Care (WPC) pilot is a five-year pilot program authorized under California’s Medi-Cal 2020 waiver to test locally-based initiatives that will coordinate physical health, behavioral health, and social services for vulnerable Medi-Cal beneficiaries who are high users of multiple systems and continue to have or are at risk of poor health outcomes. Through the Department of Health Care Services (DHCS), Health was awarded WPC funds and Health is the fiscal agent and the lead agency charged with implementing the WPC contract agreement. The original Agreement with DHCS, was scheduled to expire on December 31, 2020. DHCS was unable to provide a new contract within a reasonable timeframe to extend sub-contractor services past the expiration date of the Agreement. Health, extended services through a new Agreement with Contractor to bridge funding and continue vital services until the time that Health received a commitment from DHCS to extend the Pilot Project Program through December 31, 2021. The CONTRACTOR, one of WPC’s subgrantees, is operating the Community Health and Engagement program (CHE), providing life skills, grief and loss counseling, and post-traumatic coping skills to residents in and around Chinatown.
Health staff have collaborated with the CONTRACTOR to develop the CHE to provide WPC enrollees and other homeless individuals with direct services including medical and mental health assessment and treatment, in addition to providing educational assistance. Health regards this exciting new facility as the key structure in its WPC Pilot’s sustainability plan. CHE can reduce hospital emergency room and inpatient bed days by providing medical and mental health assessment, treatment, and steering unsheltered people into primary care and specialty clinics. This diversion is strengthened by having a WPC Public Health Nurse, Case Managers, and Licensed Vocational Nurses, and California State University, Monterey Bay (CSUMB) Nursing BSN candidates, Master of Social Work candidates, Physician Assistant students, and Public Health undergraduates all co-located.
CHE is located in 2,000 square feet of lobby, intake area, exam and treatment rooms, sterile room, classroom, and business offices on the ground floor of Moon Gate Plaza, at 22 Soledad Street in Salinas. WPC Public Health Nurse Case Managers are provided with a private office to use when working with enrollees and potential enrollees. CONTRACTOR has invited physicians, mental health, substance use counselors, housing navigators, and social services providers to use CHE as a location to interact with clients and others seeking services.
Health requires CONTRACTOR to submit monthly cost reimbursement invoices for staffing, taxes, benefits, and ongoing operations from the time the Agreement is fully executed through and including the month of December 2021.
CONTRACTOR exists to enhance the educational program of CSUMB by directly serving students, faculty, and staff and providing services to the public. The CONTRACTOR is a 501(c)(3) status nonprofit corporation that is a fully integrated part of the CSUMB campus with grant revenues of approximately $15 million annually. CONTRACTOR complies with federal regulations as stated in 2 CFR 200 and undergoes an annual federal audit as required in subpart F.
This work supports the Monterey County Health Department 2018-2022 Strategic Plan Initiative 3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports five of the ten essential public health services, specifically: 3. Inform, Educate, and empower people about health issues. 4. Mobilize community partnerships and action to identify and solve health problems. 5. Develop policies and plans that support individual and community health efforts. 6. Enforce laws and regulations that protect health and ensure safety. 7. Link People to needed personal health services and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
The office of County Counsel and the Auditor-Controller have reviewed and approved this Agreement as to form, and fiscal provisions respectively.
FINANCING:
This Agreement is 100% funded by WPC grant funds. Appropriations for this Agreement are included in the Health Department's (HEA014-8438) FY 2020-2021, Adopted Budget and will be included in its FY 2021-2022, Requested 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: Patricia Zerounian, Management Analyst III, 755-4583
Approved by:
______________________Date:_________
Elsa Jimenez, Director of Health, 755-4526
Attachments:
Amendment No 1 is on file with the Clerk of the Board
Agreement on file with the Clerk of the Board