HomeMy WebLinkAboutMINUTES - 09271988 - 1.52 To BOARD OF SUPERVISORS
FROM; Mark Finucane , Health Services Director Contra
By : Elizabeth A. Spooner , Contracts AdministratorCosta
DATE: September 14, 1988 County
SUBJECT: Approval of Contracts 424-332-5 and #24-373-2 with Crestwood
Hospitals , Inc . for Day Treatment Services ( Intensive/Moderate
Patch Programs for Skilled Nursing Facility Augmentation)
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Chairman to execute on behalf of the
County novation contracts with Crestwood Hospitals , Inc. , as set
forth below:
1 . Contract 424-332-5 in the amount of $374 ,490 for the period
from July 1 , 1988 - June 30 , 1989 for provision of intensive
day treatment for mentally disturbed persons in need of
augmented skilled nursing facility care as an alternative to
the State Hospital . This document includes a six-month
automatic extension from June 30, 1989 through December 31 ,
1989 in the amount of $187 ,245 .
2 . Contract #24-373-2 in the amount of $ 180 , 168 for the period
from July 1 , 1988 - June 30 , 1989 for provision of moderate
day treatment to mentally disturbed persons in need of
augmented skilled nursing facility care upon discharge from
Acute psychiatric hospitals . This document includes a six-
month automatic extension from June 30 , 1989 to December 31 ,
1989 in the amount of $90 ,084 .
II . FINANCIAL IMPACT :
These contracts are fully funded in the Health Services
Department Budget for FY 1988-89 and are funded 90% by State
Mental Health Short-Doyle Funding and 10% by required County
Matching Funds , as follows :
Contract Number 24-332-5 24-373-2
State Funds $337 ,041 $162 , 151
County Funds 37 ,449 1851017
PAYMENT LIMIT $374 ,490 $1803, 168
These FY 1988-89 payment limits reflect a transfer of $10 , 196
from Contract #24-373-2 to Contract #24-332-5 . This was done
to cover the greater need for intensive services provided in
Contract 424-332-5 .
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOAR COMMITTEE
APPROVE OTHER
SIGNATURE(S1:
ACTION OF BOARD ON REP 2 7 198A APPROVED AS RECOMMENDED _X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
X_ UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
cc: Health Services (Contracts) ATTESTED SEP 2 71988
Risk Management PHIL BATCHELOR, CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
Contractor
BY �. � DEPUTY
M382/7-83
Crestwood Hospitals , Inc .
Contract 424-332-5 and 424-373-2
Skilled Nursing Facility Care
Board Order Page 2
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
This contractor has been providing day treatment services to
adults under an extension of FY 1987-88 Contracts #24-332-4 and
#24-373-1 which were approved by the Board on December 1 , 1987
and respectively Novation Contracts 424-332-5 and 424-373-2
replace the six-month automatic extention under these prior
contracts . These two FY 1988-89 contracts should be approved as
an exception to the freeze because the contract services are a
vital and important part of the County' s efforts to reduce uti-
lization of State Hospital bed days (within our allocation) and
reduce overcrowding on Merrithew Memorial Hospital Psychiatric
Wards . These services provide a program to transition patients
to a less restrictive setting in the community.
These documents have been approved by the Department ' s Contracts
and Grants Administrator in accordance with the guidelines
approved by the Board ' s Order of December 1 , 1981 (Guidelines
for contract preparation and processing, Health Services
Department) .
DG :gm