|
Back to Calendar
Return
|
| |
Consent-Health & Human Services # 13.
|
| Board of Supervisors |
Adult & Aging |
|
|
|
| Subject |
| Approve agreement with BHC Heritage Oaks Hospital, Inc., dba Heritage Oaks Hospital to provide After Hours Access and Crisis Services in the amount of $1,560,537 for the period June 1, 2018 through June 30, 2020. (No general fund impact) (Larsen) |
| Recommended Action |
Approve agreement with BHC Heritage Oaks Hospital, Inc., dba Heritage Oaks Hospital to provide After Hours Access and Crisis Services in the amount of $1,560,537 for the period June 1, 2018 through June 30, 2020.
|
| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
The After Hours Crisis services provided in this agreement are part of an effort to build the crisis continuum in Yolo County. These services will replace our previous mobile crisis system with a new model that will be able to respond to the hospitals as well as law enforcement after normal business hours, with county staff managing the daytime response and Heritage Oaks Hospital managing the after business hours response. This contract also includes the 24/7 Behavioral Health Access Line in its entirety.
There are three service elements provided in this agreement, as detailed below:
1. Triage Access Line Services
Provide triage services to calls coming into the 24/7 Behavioral Health (mental health and substance use services) Access Line for Yolo County Health and Human Services (HHSA) and assess and appropriately disposition service calls, urgent support requests and crisis calls to support the community. These services will be provided 24 hours a day, 7 days per week, 365 days per year.
2. Law Enforcement After Hours Crisis Response Services
Provide after hours community based crisis response services to anyone in Yolo County who comes into contact with law enforcement during a psychiatric crisis to reduce the cost of residential placement and psychiatric hospitalization, reduce emergency room visits and incarceration for residents experiencing a psychiatric crisis, facilitate recovery, and avoid future crises.
3. Hospital After Hours Crisis Response Services
Provide after hours community based crisis response services on behalf of Yolo County Health and Human Services (HHSA) to those who arrive at a hospital emergency room during a psychiatric crisis and require assessment and placement assistance to reduce the cost of residential placement and psychiatric hospitalization, reduce emergency room visits and incarceration for residents experiencing a psychiatric crisis, facilitate recovery, and avoid future crises. At this time this applies to all persons requiring evaluation at Sutter Davis and those with Yolo County Medi-Cal at Dignity Woodland Memorial.
The performance measures included in this agreement are as follows:
1. Triage After Hours Access Line Services
Program Purpose
|
Increase access to behavioral health services |
Program Information
|
Receive calls coming into the 24/7 Behavioral Health (mental health and substance use services) Access Line for Yolo County Health and Human Services (HHSA), providing telephone triage to determine appropriate resolution of both request-for-service and crisis calls.
|
| PM1: How much did we do? |
|
# FTE |
|
# of contacts total
# of service requests
# of Beacon Screenings completed
# of ASAM Screenings completed
# Crisis/Risk contacts
# of clients screened for substance use services |
| PM2: How well did we do it? |
| 2.1 |
# and % of dropped calls |
| 2.2 |
Average wait time from ring to pickup |
| 2.3 |
# and % calls successfully picked up before 4th ring |
| 2.4 |
% client satisfaction based on client satisfaction survey at the end of the call |
| 2.5 |
% of contacts that resulted in leaving a message |
PM3: Is anyone better off? |
| 3.1 |
# and % of contacts referred for specialty mental health services assessment
|
| 3.2 |
# and % of contacts referred / linked to substance use treatment services
|
| 3.3 |
# and % of contacts admitted to inpatient psychiatric facility or crisis residential facility
|
2. Law Enforcement After Hours Crisis Response Services
Program Purpose
|
Reduce emergency room visits, psychiatric hospitalizations and incarcerations of those experiencing mental health crises and who are in contact with law enforcement. |
Program Information
|
To provide afterhours community based crisis response services to anyone in Yolo County who comes into contact with law enforcement during a psychiatric crisis to reduce the cost of residential placement and psychiatric hospitalization, reduce emergency room visits and incarceration for residents experiencing a psychiatric crisis, facilitate recovery, and avoid future crises.
|
| PM1: How much did we do? |
|
# FTE |
| 1.1 |
#of clinical responses to mental health crisis situations as requested by law enforcement |
| 1.2 |
#of unduplicated crisis contacts |
| 1.3 |
# of trainings provided to staff |
| PM2: How well did we do it? |
| 2.1 |
% of responses within 1 hour of service request
|
| 2.2 |
% of trainings with at least 75% of attendants reporting satisfaction
|
| 2.3 |
% of clients with safety plan as intervention |
PM3: Is anyone better off? |
| 3.1 |
# and % of contacts who were experiencing a crisis that were taken to the emergency department
|
| 3.2 |
# and % of contacts placed on a 5150 hold
|
| 3.3 |
# and % of contacts admitted to inpatient psychiatric facility or crisis residential facility
|
| 3.4 |
# and % of contacts who become incarcerated
|
3. Hospital and Emergency Room After Hours Crisis Response Services
Program Purpose
|
Reduce psychiatric hospitalizations and incarcerations of those experiencing mental health crises. |
Program Information
|
To provide afterhours community based crisis response services, on behalf of Yolo County Health and Human Services (HHSA), to Yolo County Medi-Cal beneficiaries who arrive at a hospital emergency room during a psychiatric crisis and who require assessment and placement assistance to reduce the cost of residential placement and psychiatric hospitalization, reduce emergency room visits and incarcerations, facilitate recovery, and avoid future crises.
|
| PM1: How much did we do? |
|
# FTE |
| 1.1 |
# of crisis contacts from hospital / emergency room |
| 1.2 |
# of unduplicated clients |
| 1.3 |
# of trainings provided to staff |
| PM2: How well did we do it? |
| 2.1 |
% of responses within 1 hour of service request
|
| 2.2 |
% of trainings with at least 75% of attendants reporting satisfaction
|
| 2.3 |
% of clients with safety plans after intervention
|
PM3: Is anyone better off? |
| 3.1 |
# and % of contacts placed on a 5150 hold
|
| 3.2 |
# and % of contacts admitted to inpatient psychiatric facility or crisis residential facility
|
| 3.3 |
# and % of contacts who become incarcerated
|
|
| Collaborations (including Board advisory groups and external partner agencies) |
County Counsel has approved this agreement as to form.
|
| Competitive Bid Process |
On December 20, 2017, Yolo County Health and Human Services Agency (HHSA) issued a request for proposals (RFP) from qualified community based organizations to provide After Hours Access and Crisis Services. The RFP was open for six weeks, and staff offered potential proposers an opportunity to ask questions during a Mandatory Bidders’ Conference held on January 3, 2018. Proposers were offered the opportunity to submit proposals via the electronic BidSync system or by dropping off a paper proposal directly at HHSA.
HHSA received two proposals from this solicitation. A Proposal Review Committee was formed that included three HHSA employees from different branches, and two members from outside entities including behavioral health, emergency services, law enforcement, and the community. The two proposals were evaluated, and because scoring results were very close, it was recommended that individual interviews be conducted in order to determine the best qualified proposer.
The proposal submitted by BHC Heritage Oaks Hospital was selected as the top choice by all members of the Proposal Review Committee, and was evaluated and determined to meet all the required qualifications necessary to successfully provide these services.
Additional information regarding the competitive bid process is provided below, including a summary of the RFP evaluation criteria.
Request for Proposals (RFP) Service Requested: After Hours Access and Crisis Services
Evaluation Criteria Included in RFP
- Company overview (20 points)
- Experience and past performance (30 points)
- Responsiveness/Responsibility (10 points)
- Approach to Project (50 points)
- Pricing Requirements (30 points)
- Quality Assurance and Oversight (20 points)
- Outputs and Outcome Measures (40 points)
- Financial Information (pass/fail)
- Quality and Completeness of Proposal (pass/fail)
Bids Received
| Bidder |
Bid |
| BHC Heritage Oaks Hospital |
$1,760,000 |
| Yolo Community Care Continuum (in collaboration with Suicide Prevention) |
$1,760,000 |
|
|
| Fiscal Impact |
|
|
| Source of Funds for this Expenditure |
|
|
Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
No general funds are required by this action. The funding for these crisis services will include a combination of FFP Medi-Cal, Realignment, MHSA funding, IGT funding, and other state or local funds.
The amount of $809,637 is included in the HHSA adopted budgets for FY17-18 and FY18-19, as detailed below. 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.
Fiscal Year 2017-18
June 1, 2018
through
June 30, 2018 |
Fiscal Year 2018-19
July 1, 2018
through
June 30, 2019 |
Fiscal Year 2019-20
July 1, 2019
through
June 30, 2020 |
Total |
| $58,737 |
$750,900 |
$750,900 |
$ 1,560,537 |
Option Years: The County may exercise its option to extend the term of the Agreement, as follows:
- If the County exercises its first option year, the new term of the Agreement will be June 1, 2018 through June 30, 2021; adding a contract budget of $750,900 for FY 2020-21, providing a new total contract maximum of $2,311,437.
- If the County exercises the second option year, the new term of the Agreement will be June 1, 2018 through June 30, 2022, adding $750,900 for FY 2021-22 providing a new total contract maximum of $3,062,337.
- In no event shall the term of the Agreement extend beyond June 30, 2022 nor shall the total contract maximum exceed the amount of $3,062,337.00, unless otherwise agreed to in writing by the parties and in conformity with Minute Order No. 18-55, Item No. 32, approved by the Yolo County Board of Supervisors on March 20, 2018.
|
|
|
|
|
|