COUNTY OF SAN MATEO

Inter-Departmental Correspondence

 

Health Department

 

DATE:

August 30, 2006

BOARD MEETING DATE:

September 19, 2006

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

   

FROM:

Charlene A. Silva, Director of Health

 

Gale Bataille, Director of Mental Health Services

   

SUBJECT:

Agreement with Mills-Peninsula Hospitals

 

RECOMMENDATION:

Adopt a Resolution:

1)

Waiving the request for proposals process for psychiatric inpatient hospital services for San Mateo County youth and adults;

   

2)

Authorizing the President of the Board to execute an agreement with Mills-Peninsula Hospitals for the period July 1, 2006 through June 30, 2007 for a maximum obligation, collectively with all other hospitals that have contracted with Mental Health Services for the provision of psychiatric inpatient hospital services for San Mateo County youth and adults, of $882,411, Net County Cost is $68,828; and

   

3)

Authorizing the Director of Health to execute subsequent amendments and minor modifications not to exceed an aggregate of $25,000 and to make minor changes in the types of services and activities provided under the agreement.

 

VISION ALIGNMENT:

Commitment: Ensure Basic Health and Safety for All

Goal 8: Help vulnerable people - the aged, disabled, mentally ill, at-risk youth, and others - achieve a better quality of life.

 

This agreement contributes to this commitment and goal by providing psychiatric inpatient hospital services for San Mateo County youth and adults.

 

PERFORMANCE MEASURE:

Measure

FY 2005-06
Actual

FY 2006-07
Projected

Maximum percentage of clients who need to be re-admitted within 30 days of a completed episode of care

10%

12%

BACKGROUND:

In March 1995 your Board approved the acceptance of State and Federal funds to implement the San Mateo County Mental Health Managed Care Plan (MHP). Since 1995 Mills-Peninsula Hospitals has contracted with the County to provide psychiatric inpatient hospital services. These services are used to accommodate emergency admissions in the northern part of the County and when San Mateo Medical Center is full. For FY 2005-06 the Mental Health Services Division contracted with Mills-Peninsula Hospitals, St. Mary’s Hospital and Medical Center, and John Muir Behavioral Health Center to provide psychiatric inpatient hospital services.

 

DISCUSSION:

The Mental Health Services Division is renewing agreements with Mills-Peninsula Hospitals, St. Mary’s Hospital and Medical Center, and John Muir Behavioral Health Center. The agreement with St. Mary’s Hospital and Medical Center and the agreement with John Muir Behavioral Health Center will be presented to your Board separately.

 

Mental Health Services is requesting a waiver of the request for proposals (RFP) process for psychiatric inpatient hospital services which are provided by regional inpatient facilities. Currently these facilities include Mills-Peninsula Hospitals, St. Mary’s Hospital and Medical Center in San Francisco, and John Muir Behavioral Health Center in Walnut Creek. The services they provide for clients comprise the majority of psychiatric inpatient hospital services provided to San Mateo County clients. If Mental Health Services did not contract with these providers, it would still be obligated to pay for the emergency services they provide. In order to improve service capacity, Mental Health Services offers contracts for psychiatric inpatient hospital services to any willing qualified provider.

 

This agreement with Mills-Peninsula Hospitals contains rates for psychiatric inpatient hospital services for Medi-Cal-covered adolescents and adults, and rates for psychiatric inpatient hospital services for uninsured adolescents and adults. Administrative Day rates, which are reimbursed based on the rate set by the State, are also included. This agreement is structured on the basis of fee-for-service rates. Only services authorized by San Mateo County Mental Health Services will be paid.

 

The term of this agreement is July 1, 2006 through June 30, 2007. The agreement has been reviewed and approved by Risk Management and County Counsel. The FY 2005-06 agreement with Mills-Peninsula Hospitals is currently on the continuing resolution.

 

The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.

 

FISCAL IMPACT:

The total maximum amount for the agreements with all three hospitals for FY 2006-07, collectively, is $882,411. There are no separate contract maximums for individual hospitals. Of that amount, $635,336 will be funded with State and Federal Medi-Cal funds, $160,599 will be funded by sales tax through realignment, $17,648 will be funded through the Health Plan of San Mateo, and the remaining $68,828 is the Net County Cost. Funding for these services has been included in the tentatively Adopted FY 2006-07 Budget.