HomeMy WebLinkAboutMINUTES - 07281992 - 1.54 r
TO: BOARD OF SUPERVISORS I , 4
' FROM: Mark Finucane, Health Services Director Contra
By: Elizabeth A. Spooner, Contracts AdministratorCoS}a
DATE: July 23, 1992 10 County
SUBJECT: Approval of Interim Contracts with Three Institutions for
Mentally Diseased (IMD's) for admission and treatment of County-
referred mentally disturbed patients
SPECIFIC REQUEST(S) OR RECOMMeNDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director or his designee
(Patricia Roach) to execute on behalf of the County, Interim
Contracts, effective July 1, 1992 and terminating three months from
the effective date (unless sooner terminated as provided in the
agreements) , with three IMD's for admission and intensive day
treatment of County-referred mentally disturbed persons who are in
need of sub-acute skilled nursing care as follows:
CONTRACT NO. CONTRACTOR CONTRACT PAYMENT LIMIT
24-373-6 CRESTWOOD HOSPITALS, INC. $ 851,434
24-646 VILLA MARIA MANAGEMENT CORPORATION 104, 219
24-647 HARBOR HILLS HOSPITAL, INC. 71, 594
II. FINANCIAL IMPACT:
These contracts are funded by County/Realignment 100%.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
In accordance with the new State Mental Health Realignment
Legislation, which shifts responsibility for payment to providers from
the State and requires the Counties to assume direct responsibility
for contracting with sub-acute skilled nursing facilities known as
Institutions for the Mentally Diseased (IMD) , the Department has been
negotiating contracts with several IMD's.
J
CONTINUED ON ATTACHMENT: XX YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDA ION OF BOARD COMMITTEif
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON T 7 97 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS OTHE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED p p2
Risk Management Phil Batch ,Clerk&the Board of
Auditor-Controller Supervisors and County Administrator
Contractor
M382/7-e8 BY v DEPUTY
r
BOARD ORDER
Interim Contracts with
Institutions for the
Mentally Diseased (IMD's)
Page 2
The purpose of these Contracts between County and Contractor is to
provide intensive day treatment services for County-referred mentally
disturbed persons who are in need of sub-acute skilled nursing care in
an IMD. The goals of this County's IMD Program are as follows:
A. To assist Contra Costa County in efficiently and effectively
managing limited resources by providing an alternative to utilization
of state hospital days and acute hospital administrative days;
B. To increase the client's motivation and skills toward self-
restoration;
C. To prevent or decrease the rate of decompensation, thus
decreasing placements at higher, more costly levels of care; and
D. To provide the intensive staffing required to supervise and treat
behavioral and medical conditions.
The State has mandated that this new IMD Program be effective July 1,
1992 , and the Department has been diligently negotiating with
appropriate facilities. Most of the contractual details have been
worked out, but negotiations, primarily with regard to some of the
specific services the Contractors will provide, have not been
completed. Therefore, in order to comply with the new legislation,
the Department is requesting your Board's approval of Interim
Contracts, which have a maximum three-month term, pending completion
of negotiations with the Contractors listed above.
As soon as contract provisions are finalized, the Department will
submit Standard Contracts to your Board for approval.