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  Consent-Health & Human Services   # 23.       
Board of Supervisors Adult & Aging  
Meeting Date: 04/24/2018  
Brief Title:    Vista Pacifica Enterprises IMD FY16-19 Amd3
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 third amendment to the agreement with Vista Pacifica Enterprises for Institute for Mental Disease services to extend the term through June 30, 2019 and add funding in the amount of $618,049.60 for 2018-19 for a new contract maximum of $1,972,783.12 for the period January 18, 2016 through June 30, 2019. (No general fund impact) (Larsen)
Recommended Action
  1. Approve third amendment to the agreement with Vista Pacifica Enterprises for Institute for Mental Disease services to extend the term through June 30, 2019 and add funding in the amount of $618,049.60 for fiscal year 2018-19 for a new contract maximum of $1,972,783.12 for the period January 18, 2016 through June 30, 2019, and
     
  2. Delegate authority to the Director of Health and Human Services Agency and/or her/his designee to sign and execute any additional forms, documents and/or amendments as necessary relating to this agreement, provided there are no significant programmatic changes or increases in funding.
Strategic Plan Goal(s)

Operational Excellence
Thriving Residents
Safe Communities

Reason for Recommended Action/Background
The Health and Human Services Agency desires to provide consistent and quality care in locked inpatient settings when deemed necessary for the safety and stability of individuals served by the local Mental Health Plan. Vista Pacifica Center in Riverside operates an Institute for Mental Disease (IMD) program, providing treatment and care to Yolo County beneficiaries since 2016.  The program offers specialized treatment including pharmacological, therapeutic, and rehabilitative interventions in a safe and secure environment. These services are available in a 24-hour care, non-state hospital locked setting to referred adults who are conservatees of Yolo County Public Guardian, and require treatment in such a secure environment.

Approval of this Amendment is necessary in order to continue to provide services for our most vulnerable population. 

 

Program Purpose

To improve long-term outcomes of individuals experiencing serious and persistent mental health conditions

Program Information

Provides 24-hour care and treatment to individuals with a serious mental health condition to improve functioning such that they can re-integrate into the community in a less restrictive setting
PM1: How much did we do?

1.1

Total # Yolo Co Medi-Cal beneficiaries served annually
 
1.2
 
Total # bed days utilized by Yolo Co Medi-Cal beneficiaries
 
1.3 Average length of stay for Yolo County Medi-Cal beneficiaries per year
PM2: How well did we do it?
2.1 Percentage Yolo Co Medi-Cal beneficiaries who returned to the community within six (6) months of admission to Vista Pacifica
2.2 Percentage of Yolo Co Medi-Cal beneficiaries who returned to the community within one (1) year of admission to Vista Pacifica

PM3: Is anyone better off?
3.1
 
 
Percentage of Yolo County Medi-Cal beneficiaries discharged from Vista Pacifica who were discharged to a lower level of care
 
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 Yolo County Health and Human Services Agency (HHSA) for certain exceptions to the contract procurement policy.  According to this approval, Residential Treatment Services in a locked 24-hour facility is classified as “Any Willing Provider” and are exempt from the competitive bid process.

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   618,050
Amount budgeted for expenditure:    $   618,050
Additional expenditure authority needed:    $  
On-going commitment (annual cost):    $   618,050
Source of Funds for this Expenditure
$618,050
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No general funds are required by this action.  These services will be funded by Mental Health Realignment.  The amount of $618,049.60 is included in the HHSA proposed 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.
 
FY15-16 FY16-17 FY17-18 FY18-19 Total
$118,634.32 $618,049.60 $618,049.60 $618,049.60 $1,972,783.12
Attachments
Att. A. Vista Pacifica Enterprises, Inc - Amd3

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 04/11/2018 04:13 PM
County Counsel Hope Welton 04/11/2018 04:29 PM
Form Started By: ahines Started On: 03/08/2018 01:23 PM
Final Approval Date: 04/11/2018

    

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