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Consent-Health & Human Services # 24.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Approve contract with ExMed, Inc. for the provision of locum tenens psychiatry services through June 30, 2017, in the amount of $550,000; Grant the Health and Human Services Agency (HHSA) an “any willing provider” exception to the County procurement policy for psychiatry services. (No general fund impact) (Larsen) |
| Recommended Action |
- Approve and authorize the Chair to sign the contract with ExMed, Inc. for the provision of locum tenens psychiatry services through June 30, 2017, in the amount of $550,000; and
- Authorize the Director of the HHSA, and her/his designee, authority to execute any additional forms, documents and/or Amendments as necessary relating to this contract; and
- Grant the HHSA an “any willing provider” exception to the County procurement policy for psychiatry services.
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| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
Pursuant to the County’s contract with the State of California re the provision of Specialty Mental Health Plan, HHSA is required to provide psychiatry services to either: 1) residents with severe and persistent mental illness who are indigent or 2) residents who are recipients of Yolo County Medi-Cal. Approval of this contract will provide for the continuation of required outpatient psychiatry services specifically needed for seriously mentally ill consumers, reducing the risk of placement at higher level/cost facilities.
On September 19, 2014, the County Administrator’s Office (CAO) issued a Request for Qualifications (RFQ) seeking a Board Certified Adult Psychiatrist. Ex Med, Inc. was the only respondent. Since the RFQ was issued, the need for these services has steadily increased—especially given the changes in the number of qualified Medi-Cal recipients, yet it has become increasingly difficult to find providers.
The recruitment of psychiatrists to the County has been extremely challenging due to national and statewide shortages in the field, increasing demand for psychiatry services, increasing number of Medi-Cal recipients as a result of the Affordable Healthcare Act, and competition with the private sector. The County has had an opening posted for several years for a staff psychiatrist that has remained unfilled. Further, the cost and expense of completing the competitive bid process when there is high probability of not receiving any responses is not a fiscally responsible use of County resources. Thus, HHSA requests that the Board grant the HHSA an any willing provider exception to the County’s Procurement policy as it relates to psychiatry service providers.
Competitive Bid Process:
On September 19, 2014, the CAO issued a RFQ seeking a Board Certified Adult Psychiatrist. Ex Med, Inc. was the only respondent.
Contracting History:
The County entered into a contract with Ex Med, Inc. from April 1, 2015 to September 30, 2015, (FY15-16) with a contract maximum of $197,024. Even though there was an RFQ completed by the CAO’s office in the fall of 2014, this contract was approved under a sole source letter. It is presumed that a sole source was used because the FY 15-16 contract with Ex Med, Inc. also provided for child psychiatry, which was a service outside of the RFQ. The term of the FY 15-16 contract was subsequently extended to June 30, 2016 via the First Amendment to that contract. |
| Collaborations (including Board advisory groups and external partner agencies) |
| County Counsel (review and approval as to form) |
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| Fiscal Impact |
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| Source of Funds for this Expenditure |
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Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
| This is a budgeted expense for HHSA. |
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