| | | | | | | | REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS
BOARD MEETING DATE: April 10, 2018
CATEGORY: Consent - Health and Human Services-5.
SUBJECT:
Second Amendment to Agreement with California Locums P.C. for Psychiatric Services. |
| | | | | | | | | DEPARTMENT: | Health and Human Services Agency-Adult Services
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| | | | | | | | Supervisorial District No. : All
DEPARTMENT CONTACT: Dean True, Branch Director, HHSA Adult Services, (530) 225-5900
STAFF REPORT APPROVED BY: Dean True, Branch Director, HHSA Adult Services
Vote Required?
Simple Majority Vote | General Fund Impact?
No Additional General Fund Impact |
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| | | | | | | | RECOMMENDATION
Approve and authorize the Chairman to sign a retroactive amendment, effective February 23, 2018, to the agreement with California Locums P.C. to provide locum tenens psychiatrists and nurse practitioners which increases maximum compensation by $561,000, from $876,000 to $1,437,000, during the entire term of the agreement and extends the end date of the agreement from February 22, 2018 to June 30, 2019. |
| | | | | | | | SUMMARY
The proposed amendment will increase maximum compensation and extend the term of the agreement, allowing Shasta County to continue to access temporary nurse practitioners, as well as psychiatrists, through California Locums P.C. as needed during periods of staffing shortages. |
| | | | | | | | DISCUSSION
The agreement with California Locums P.C. allows the Contractor to continue to present psychiatrists and nurse practitioners, should the need arise. Currently two doctors are utilized through this Contractor. The Health and Human Services Agency continues to actively recruit for an additional full-time psychiatrist.
Without adequate psychiatric resources, Shasta County is less able to address the most devastating symptoms of serious mental illness that require prescription medication(s). Locum tenens placement agencies provide valuable psychiatric resources that have allowed Shasta County to provide treatment to those adults and children most in need of these services. The amendment is retroactive due to rate negotiations which ultimately resulted in no rate change. |
| | | | | | | | ALTERNATIVES
The Board could choose not to approve the amendment or direct staff to negotiate changes to the amendment. |
| | | | | | | | OTHER AGENCY INVOLVEMENT
County Counsel has approved the amendment as to form. Risk Management previously approved the original agreement. There is no change to liability or insurance provisions, or the scope of work in this amendment. This recommendation has been reviewed by the County Administrative Office. |
| | | | | | | | FINANCING
The amendment increases the maximum compensation of the agreement by $561,000 through FY 2018-19. The cost for this agreement is included in the Mental Health FY 2017-18 (BU410) Adopted Budget and is included in the Requested Budget for FY 2018-19 (BU410). Costs are incurred only when a psychiatrist or nurse practitioner is assigned from California Locums P.C. and they provide services for Shasta County. These services are largely funded through third-party reimbursements that include a County match from Realignment. There is no additional General Fund impact with approval of the recommendation. |
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