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HomeMy WebLinkAboutMINUTES - 04211987 - 2.8 To BOARD OF SUPERVISORS Contra FROM: Mark Finucane Health Services Director Cx)sta DATE: March 20 , 1987 Coin SUBJECT: National Psychiatric Centers, Inc. , Proposal for Psychiatric Health Facility SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION Accept report and approve recommendation of Health Services Director with respect to the proposal of National Psychiatric Centers, Inc. , to establish a psychiatric health facility in the Pleasant HIll area. FINANCIAL IMPACT None. BACKGROUND The Board on January 27 , 1987 referred to the Health Services Director the proposal of National Psychiatric Centers, Inc. , (NPC) to open a 40-bed adult psychiatric health facility at 40 Boyd Road in Pleasant Hill. This facility, known as the Pleasant Hill Retirement Home, is currently operated as a 40-bed geriatric residential care facility. The proposed facility will be a voluntary unit, although there may be one restraint and seclusion room. NPC has invited a number of local psychiatrists to form a limited partnership in developing this project. A majority of the patients will come from Contra Costa County, although referrals will be accepted from out of County. The anticipated average length of stay is 10-14 days. NPC estimates that a high percentage of its operating revenue will be private insurance. The cost per day will be about $350, exclusive of provider costs. A psychiatric health facility (PHF) can only operate at a daily rate that is 60 percent of the area average of acute psychiatric hospitals. NPC expects the facility to be JCAH and Medicare approved. NPC is not interested in contracting with Contra Costa County for indigent patients. NPC will forward to the Health Services Department copies of its interfacility transfer agreements, which are referenced in the proposal. NPC does not intend to apply for 5150 designation. NPC has recently concluded a lease-purchase option on the property contiguous to the proposed site should it decide to expand in the future. CONTINUED ON ATTACHMENT: -->C YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): p ACTION OF BOARD ON —April 21 , 198 7 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS 1 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 ATTESTED April 21 , 1987 County Administrator PHIL BATCHELOR, CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR BY � 382/7-83 DEPUTY a Board of Supervisors March 20, 1987 Page 2 Staff from the National Psychiatric Centers have been in contact with our patients ' rights organizations. We have written to National Psychiatric Centers requesting their consideration of assuming part of the costs that will be required in providing patients ' rights advocacy. A major concern will be the placement of the existing geriatric population located at the residential care facility. There may be opposition from geriatric advocates who are concerned about where the current occupants will be relocated. There is particular concern regarding those people who rely on SSI as their main source of income. The State Department of Mental Health indicates the program will probably "fall within the range of approvability" , although they are interested in our recommendations. Therefore, we recommend a letter be sent by the Mental Health Director to the State Department of Mental Health recommending the following. (1) Approval of this application will be subject to assuring comparable and appropriate placement for the residents of the residential care facility. This will include placement for those individuals who rely on Supplemental Security Income. The A/DA/MH Division Geriatrics Unit will monitor and report to the Director regarding these placement proceedings. ( 2) National Psychiatric Centers will enter into negotiations with the Health Services Department to defray part of the cost of providing patients ' rights services at the facility. These recommendations have been reviewed by the Mental Health Advisory Board.