Agenda

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Consent-Health & Human Services # 16.

Board of Supervisors

Adult & Aging

Meeting Date:	03/20/2018
Brief Title: LocumTenens.com Amd1 FY17-20
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Sandra Sigrist, Adult & Aging Branch Director, Health and Human Services Agency, x8794
Supervisorial District Impact:

Subject

Approve first amendment to Agreement No. 17-217 with LocumTenens.com, LLC to extend the term through June 30, 2020, add funding in the amount of $1,200,000 for the extended period, for a new contract maximum amount of $1,800,000, and include an enhanced rate for psychiatrists relocating to Yolo County for the provision of locum tenens psychiatry services for the period July 1, 2017 through June 30, 2020. (No general fund impact) (Larsen)

Recommended Action

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 regarding the provision of Specialty Mental Health Plan, the Yolo County Health and Human Services Agency (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 amendment 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.

In Yolo County, the need for Adult Psychiatrist 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, 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 performance measures included in this agreement are as follows:

Program		Agency	Contact
Program Purpose	Coordinate linkages between available psychiatrists and client service locations.
Program Description	Provide psychiatry staffing services via outpatient clinics and telepsychiatry.
PM1: How much did we do?
Customers Units of Service	Number hours psychiatry coverage provided.
PM2: How well did we do it?
2.1	Number of clients who received a service.
PM3: Is anyone better off?
3.1	Decrease in the average wait time for initial face-to-face psychiatric appointments.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process

On September 13, 2016, per Minute Order 16-116 Item No. 24, the Board granted HHSA an any willing provider exception to the County’s Procurement policy as it relates to psychiatry service providers.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 600,000
Amount budgeted for expenditure:		$ 600,000
Additional expenditure authority needed:		$ 0
On-going commitment (annual cost):	$ 600,000

Source of Funds for this Expenditure

$600,000

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this action. A combination of Med-Cal, mental health realignment and MHSA funding sources will be used to fund this agreement. The amount of $600,000 for fiscal year 2018-19 is included in HHSA’s approved budget. 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.

FY17-18 July 1, 2017 through June 30, 2018	FY18-19 July 1, 2018 through June 30, 2019	FY19-20 July 1, 2019 through June 30, 2020	Total
$600,000	$600,000	$600,000	$1,800,000

Attachments
Att. A. Amendment 1

Form Review

Inbox	Reviewed By	Date
Financial Services	Tom Haynes	03/08/2018 10:26 AM
County Counsel	Hope Welton	03/09/2018 09:13 AM
Form Started By: ccontreras		Started On: 03/06/2018 01:10 PM
Final Approval Date: 03/09/2018