Print Back to Calendar Return
  Consent-Health & Human Services   #   20.    
Board of Supervisors Adult & Aging  
Meeting Date: 01/15/2019  
Brief Title:    Sutter Center for Psychiatry EMS Expansion/Urgent Care-Nurse Practitioners FY19-22
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Sandra Sigrist, Adult and Aging Branch Director, Health and Human Services Agency, x8794

Subject
Approve agreement with Sutter Valley Hospitals, dba Sutter Center for Psychiatry, to provide expanded urgent care services capabilities in the amount of $1,500,000 for the period January 15, 2019 through January 14, 2022. (No general fund impact) (Larsen)
Recommended Action
  1. Approve agreement with Sutter Valley Hospitals, d.b.a. Sutter Center for Psychiatry to provide expanding urgent care services capabilities in the amount of $1,500,000 for the period January 15, 2019 through January 14, 2022; and 
     
  2. Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to approve Option Year Letters not to exceed $500,000 per fiscal year, for a 5-year maximum payment obligation not to exceed $2,500,000. (Please see Section III. of Att. A. Agreement.)
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
This Agreement will allow Sutter Center for Psychiatry to employ two (2) Nurse Practitioners to provide psychiatric medical care to the general public, as part of a multi-disciplinary team working at the Yolo County Health & Human Services Agency (HHSA) Mental Health Urgent Care program. This Program provides crisis stabilization services to walk-ins or referrals from families, community members, City Homeless Coordinators, first responders and law enforcement personnel, and offers a seven (7) days per week alternative in the County of Yolo to emergency room management of psychiatric conditions through the use of a multi-disciplinary urgent care team. The Nurse Practitioners will provide these services at the County’s West Sacramento Urgent Care Clinic on a schedule mutually agreed to by County and Contractor.
 
The overall goal is to provide an additional access point for mental health services at the urgent care level of service to the community, and to decrease utilization of emergency rooms, and corresponding inpatient psychiatry services, for the management of acute and/or persistent psychiatric conditions that can be effectively and appropriately managed in a community-based setting.
 
Included in this Agreement are two separate components, as follows:
 
Sutter Center for Psychiatry will lease the services of one and one-half (1.50) Nurse Practitioner FTEs to County for the provision of clinical services in support of the Program. 

Sutter Center for Psychiatry will donate the services of one-half (0.50) of a Nurse Practitioner FTE to County for the provision of clinical services in support of the Program. 

The Leased Employees and the Donated Employees shall be the employees of Sutter Center for Psychiatry, and not the employees of County, for all purposes.  
 
This agreement provides for dual indemnity and that each party’s defense and indemnification obligations are limited to the scope, type and amount of coverage of the insurance obligations of each party contained in this Agreement.

The Performance Measures associated with this Agreement are included in Attachment B.
Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to Form.

Competitive Bid Process
On July 31, 2007, the Board of Supervisors granted an approval to the Department of Alcohol, Drug and Mental Health, now known as Health and Human Services Agency, for certain exceptions to the contract procurement policy.  According to this approval, hospital providers are classified as “any willing providers” and are exempt from the competitive bid process.

Fiscal Information
Fiscal impact (see budgetary detail below)
Fiscal Impact of this Expenditure
Total cost of recommended action $500,000
Amount budgeted for expenditure $500,000
Additional expenditure authority needed $0
On-going commitment (annual cost) $500,000
Source of Funds for this Expenditure
MHSA Innovation Funds $500,000
Further explanation as needed
No general funds are required by this action.  These services will be funded by MHSA Innovation funds.  The amount of $500,000 is included in the HHSA adopted budget for FY18-19.  The related funding will be included in the requested budget process for future fiscal years.
 
The following is the breakdown of funding for this agreement.
 
  FY 2019-20:
January 15, 2019 through January 14, 2020
 
FY 2020-21:
January 15, 2020 through January 14, 2021
 
FY 2021-22:
January 15, 2021 through January 14, 2022
Total
Mental Health Services
 
$500,000 $500,000 $500,000 $1,500,000
Attachments
Att. A. Agreement
Att. B. Performance Measures

Form Review
Inbox Reviewed By Date
Karen Larsen Karen Larsen 01/08/2019 11:22 AM
Financial Services Tom Haynes 01/10/2019 10:02 AM
County Counsel Hope Welton 01/10/2019 11:06 AM
Form Started By: ccontreras Started On: 11/27/2018 07:47 AM
Final Approval Date: 01/10/2019
Level double AA conformance,
                W3C WAI Web Content Accessibility Guidelines 2.0

AgendaQuick ©2005 - 2021 Destiny Software Inc. All Rights Reserved.