To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Purchase Three Vehicles for Enhanced Care Management
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE Budget Amendment No. BDA-24-00277 authorizing the transfer of appropriations in the amount of $110,752 from Health Services - Behavioral Health Admin (0467) to Public Works - ISF Fleet Services (0064) for the purchase of three (3) vehicles for client transportation and support in the Enhanced Care Management (ECM) Department.
FISCAL IMPACT:
This action increases appropriations in Public Works - ISF Fleet Services (0064) and reduces appropriations in Health Services - Behavioral Health Admin (0467) by $110,752. The purchase of these vehicles will be funded by Enhanced Care Management funds.
BACKGROUND:
The Enhanced Care Management Department has increased in staff and county cars are needed to provide services in the field. The role of the staff is to support clients with highly complex needs by providing clients with their own care team, including a Lead Care Manager. ECM staff partners with a client’s doctors, specialists, pharmacists, case managers, social services providers and others to make sure everyone works together to provide client support. A Lead Care Manager can also help find and apply for other services in the community offering problem solving, managing crisis, advocating for client's needs, connecting them to services in the community, financial coaching and management.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, the Department will not be able to maintain client support with problem solving, managing crisis, advocating for client's needs, connecting them to services in the community, financial coaching, and management. The County would also incur higher expenses in continuing to lease the current vehicles compared to purchasing vehicles.