File #: 08-1327    Version: 1
Type: Agenda Item Status: Department Matters
File created: 8/18/2008 In control: Board of Supervisors
On agenda: 10/21/2008 Final action:
Title: Mental Health Department recommending Chairman be authorized to sign Agreement 773-S0811 with MGA Healthcare, Inc. in the amount of $200,000 for a term of two years through October 31, 2010, to provide temporary staffing for the El Dorado County Psychiatric Health Facility on an “as requested” basis. RECOMMENDED ACTION: Approve. FUNDING: Medi-Cal and Realignment
Attachments: 1. 773-S0811_BlueRoute, 2. Agm #773-S0811 08-1327, 3. 773s0811 Exh A 9-29, 4. Cont'd Items 4,5, and 30 att'd 10-21-08.pdf
Title
Mental Health Department recommending Chairman be authorized to sign Agreement 773-S0811 with MGA Healthcare, Inc. in the amount of $200,000 for a term of two years through October 31, 2010, to provide temporary staffing for the El Dorado County Psychiatric Health Facility on an “as requested” basis.
RECOMMENDED ACTION: Approve.

FUNDING: Medi-Cal and Realignment

Body
BUDGET SUMMARY:
Total Estimated Cost $200,000

Funding
Budgeted $200,000
New Funding $
Savings $
Other $
Total Funding Available $200,000
Change To Net County Cost $0

Fiscal Impact/Change to Net County Cost: The total funding for this agreement is $200,000 for the two-year contract. There is no Change to Net County Cost.

Background: El Dorado County Mental Health Department (MHD) operates a Psychiatric Health Facility (PHF) in Placerville that provides acute inpatient psychiatric services to adults. In addition to serving local needs, the services provided by the PHF are also available to California counties which have established contracts with El Dorado County that permit them to make placements to the PHF. These placements are made subject to bed availability and clinical appropriateness.

The PHF is also a facility that effects involuntary psychiatric confinement of individuals, and as such is required to comply with strict regulations governing various aspects of its operations. These regulations include minimum staffing requirements for nurses, mental health workers, and other health care professionals depending on the number of placements at the PHF. As a result, at times various factors converge to create situations where the PHF cannot continue operating without additional professional staff on certain shifts. The most typical example is a sudden, unpredictable increase in PHF utilization combined with mission critical staff out on sick leave. The most effective means of responding to such continge...

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