REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
March 10, 2020
FROM
VERONICA KELLEY, Director, Department of Behavioral Health
SUBJECT
Title v
Amendment to Contract with Orchid Court, Inc. for Provision of Enhanced Board and Care Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 3, effective March 10, 2020, to Contract No. 15-218 with Orchid Court, Inc. for the provision of Enhanced Board and Care Services, increasing the daily bed rate and increasing the total contract amount by $273,750, from $3,093,716 to $3,367,466, with no change to the total contract period of July 1, 2015 through September 30, 2020.
(Presenter: Veronica Kelley, Director, 388-0801)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The increase of $273,750 ($219,000 for 2019-20 and $54,750 for 2020-21) is funded by the Substance Abuse and Mental Health Services Administration Community Mental Health Services Block Grant. Adequate appropriation and revenue have been included in the Department of Behavioral Health’s (DBH) 2019-20 budget and will be included in the 2020-21 recommended budget.
BACKGROUND INFORMATION
Enhanced Care Services, within a state-licensed 24/7 residential facility, is a vital tool within the continuum of care for adult consumers with medical and behavioral health conditions in their journey towards independence. Providing an array of enhanced services, with 24/7 supervision and care, allows emotional support, stabilization, self-reliance, life skills improvements, and integration into the community. These services have enabled DBH to reduce a consumer’s length of stay in acute psychiatric hospitals, long-term locked psychiatric residential facilities, as well as aiding in the transition to a lower level of care while still having access to specialty services.
Orchid Court, Inc. (Orchid Court) has been providing state-licensed 24/7 residential care since 1995 and has collaborated with DBH since 2003 to provide enhanced care services to meet the specialized needs of the hard-to-place adults experiencing medical and behavioral health conditions. The requested increase from $55 per bed day to $75 per bed day ensures competitive payment and increases nursing staff time availability for DBH consumers to assist with the comorbid medical concerns in addition to their behavioral health conditions. Due to the acuity of the consumers and the need for added supervision and services, the structure and support provided by Orchid Court is a vital component of the DBH continuum of care for those consumers participating to successfully maintain stability in the community. The contract also includes costs for hearing impaired services at an hourly rate of $30 for a maximum of 2,912 hours.
The Enhanced Care Services provided by Orchid Court include, but are not limited to: diabetic services, transportation to and from medical and psychiatric appointments, life skills education and activities, daily on-site treatment groups and educational classes, substance use disorder education and treatment, and services for the hearing impaired. Additional specialty services are provided to consumers experiencing serious medical and behavioral health conditions and whose behavior continues to negatively impact the ability to find placement in a lower level of care.
PROCUREMENT
On May 5, 2015 (Item No. 18), as the result of a formal procurement, the Board of Supervisors (Board) approved the contract with Orchid Court for the provision of Enhanced Care Services, in the amount of $1,474,080, for up to 30 DBH consumers per day at $40 per bed day, for the period of July 1, 2015 through June 30, 2018, with two one-year extension options contingent upon funding and contractor performance.
On April 17, 2018 (Item No. 13), the Board approved Amendment No. 1 updating standard contract language, increasing the daily bed rate to $55, exercising the first one-year option to extend the contract, and increasing the total contract amount by $757,623, from $1,474,080 to $2,231,703, for the total contract period of July 1, 2015 through June 30, 2019.
On March 12, 2019 (Item No. 19), the Board approved Amendment No. 2 updating standard contract language, exercising the final one-year option to extend the contract, and increasing the total contract amount by $862,013 from $2,231,703 to $3,093,716, for the total contract period of July 1, 2015 through September 30, 2020.
DBH will continue to monitor contractor performance on a regular basis to ensure compliance standards are met. A new procurement will be completed by DBH for continued Enhanced Care Services.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health (Ellayna Hoatson, Contracts Supervisor, 388-0858) on February 11, 2020; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on February 12, 2020; Finance (Christopher Lange, Administrative Analyst, 386-8393) on February 19, 2020; and County Finance and Administration (Tanya Bratton, Deputy Executive Officer, 388-0332) on February 19, 2020.