To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #24-794-9 (23) with BHC Sierra Vista Hospital, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment Agreement #24-794-9(23) with BHC Sierra Vista Hospital, Inc., a corporation, to amend Contract #24-794-9(19), effective June 1, 2024, to increase the payment limit by $274,026, from $75,000 to a new payment limit of $349,026 for additional inpatient psychiatric hospital services to County-referred adults and adolescents with no change in the term July 1, 2023 through June 30, 2024, and to increase the six-month automatic extension payment limit by $137,013, from $37,500 to a new payment limit of $174,513 through December 31, 2024.
FISCAL IMPACT:
Approval of this amendment will result in additional expenditures of up to $274,026 through June 30, 2024, and up to $137,013 for the automatic extension through December 31, 2024, and funded 100% by Mental Health Realignment Funds. (No rate increase)
BACKGROUND:
The Behavioral Health Services Department (BHSD) has been contracting with BHC Sierra Vista Hospital, Inc. since November 1, 2006. This contract meets the social needs of County’s population by providing inpatient psychiatric hospital services to County-referred adults and adolescents. This contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. The BHSD Contract Monitoring staff meet on a regular basis to ensure monitoring of performance measures set forth in the contract are upheld. This contractor has been a longstanding partner in previous projects, fostering a deep understanding of our organization's mission, values, and long-term objectives.
On August 1, 2023, the Board of Supervisors approved Novation Contract #24-794-9(19) with BHC Sierra Vista Hospital, Inc., in an amount not to exceed $75,000, for the provision of inpatient psychiatric hospital services to County-referred adults and adolescents for the period from July 1, 2023 through June 30, 2024, which included a six-month automatic extension through December 31, 2024, in an amount not to exceed $37,500.
This contractor’s utilization has been higher than anticipated, therefore the BHSD Division requested the contract payment limit be increased to ensure proper compensation and to ensure all inpatient psychiatric hospital services to County-referred adults and adolescents in Contra Costa County.
Approval of Amendment Agreement #24-794-9(23) will allow the contractor to provide additional inpatient psychiatric hospital services through June 30, 2024, including a six-month automatic extension through December 31, 2024.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment is not approved, BHSD clients may not receive needed inpatient psychiatric services from the contractor’s facility further putting their health and safety at risk.
CHILDREN’S IMPACT STATEMENT:
This program supports the following Board of Supervisors’ community outcome: “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include a decrease in the need for inpatient care and placement at a lower level of care.