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  Consent-Health & Human Services   # 20.       
Board of Supervisors Adult & Aging  
Meeting Date: 02/06/2018  
Brief Title:    Mental Health Management I, Inc., dba Canyon Manor Amd1 FY17-19
From: Karen Larsen, Director, Health & Human Services
Staff Contact: Sandra Sigrist, Branch Director, Adult & Aging, Health & Human Services, x8794
Supervisorial District Impact:

Subject
Approve first amendment to agreement with Mental Health Management I, Inc. dba Canyon Manor to increase fiscal year 2017-18 maximum compensation by $350,000 and fiscal year 2018-19 maximum compensation by $350,000 for an aggregate contract maximum amount of $1,255,000 for the provision of Yolo County residents who are conserved and require 24 hour locked facility to treat chronic mental illness and/or substance abuse disorders. (No general fund impact) (Larsen)
Recommended Action
  1. Approve first amendment to Agreement PO No. 2247 with Mental Health Management I, Inc. dba Canyon Manor to increase fiscal year 2017-18 maximum compensation by $350,000 for an aggregate contract maximum amount of $1,255,000 for the provision of Yolo County residents who are conserved and require 24 hour locked facility to treat chronic mental illness and/or substance abuse disorders. 
     
  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
Mental Health Management I, Inc. dba Canyon Manor Amendment #1:
Mental Health Management I, Inc. dba Canyon Manor provides services to Seriously Mentally Ill (SMI) adults, stepping them down to lower levels of care whenever possible, reducing acute psychiatric admissions and length of stay and Institute for Mental Disease placements.

It is anticipated that there will be savings from the existing Crestwood contract that will be used for this increase.  Additional funds in the amount of $700,000 ($350,000 for FY 17/18 & 350,000 for FY 18/19) are needed to align with utilization of the mental health services during fiscal year’s 17/18 and 18/19.  This facility provides goal-directed treatment, a decreased length of stay, and great collaboration and communication, while also being closer to home for the conserved clients.
 
Approval of this amendment will further the Health and Human Services Agency’s efforts to support community-based services and prevent higher cost of care from occurring more than necessary.
 
The performance measures included in this agreement are as follows:
 

 

 

 

PURPOSE
Provide mental health services to Seriously Mentally Ill (SMI) adults, stepping them down to lower levels of care whenever possible; reduce acute psychiatric admissions and length of stay; reduce Institute for Mental Disease placements
PM1: How much did we do?
   
Number of beneficiaries served, by age, gender, race/ethnicity, culture if known, or disability (e.g., hearing impaired, seeing impaired, wheel-chair bound)
 
PM2: How well did we do it?
2.1
 
Percentage of clients who maintained at this level of care, requiring one or less acute psychiatric hospital stays annually during their stay in the facility
 

PM3: Is anyone better off?
3.1 Percentage of clients who within 1 year were returned to their community
   
 
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:    $   700,000
Amount budgeted for expenditure:    $   700,000
Additional expenditure authority needed:    $   0
One-time commitment     Yes
Source of Funds for this Expenditure
$700,000
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No general funds are required by this action.  These services will be funded by State funds.  The amount of $700,000 is included in the HHSA proposed budget for FY17-18 & FY 18/19.  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.
 

Scope of Services

FY16-17

FY17-18

FY18-19

Total Contract Amount

 

 

 

 

 

Canyon Manor

$185,000

$185,000

$185,000

$555,000

Amendment #1

$0

$350,000

$350,000

$700,000

 

 

 

 

 

New Contract Total

$185,000

$535,000

$535,000

$1,255,000

 
 
Attachments
Att. A. Agreement

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 01/31/2018 09:02 AM
County Counsel Phil Pogledich 01/31/2018 09:19 AM
Form Started By: ahines Started On: 01/04/2018 11:39 AM
Final Approval Date: 01/31/2018

    

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