Title
Health Services Department recommending the Board authorize the Chair to sign Agreement 293-162-M-E2011 with Amador County for psychiatry services for a term of twelve (12) months effective upon full execution of the Agreement. This Agreement will assist the Department in managing psychiatric workload due to the 2.0 fulltime employee (FTE) psychiatrist vacancies.
FUNDING: Medi-Cal, Mental Health Realignment & Mental Health Services Act (MHSA).
Body
BUDGET SUMMARY: |
|
|
Total Estimated Cost |
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$70,000 |
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|
|
Funding |
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|
Budgeted |
$ |
|
New Funding |
$ |
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Savings |
$70,000 |
salary savings from vacancies |
Other |
$ |
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Total Funding Available |
$70,000 |
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Change To Net County Cost |
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$0 |
Fiscal Impact/Change to Net County Cost: This agreement is funded from the sources noted above. Appropriations are available due to salary savings from unfilled psychiatrist positions. There is no Net County Cost associated with this Agreement for psychiatrist services through Amador County.
Background: The Health Services Department Mental Health Division has been recruiting for the position of psychiatrist for approximately two years. After repeated unsuccessful attempts to hire psychiatrist staff, the Department has sought alternative solutions to managing the psychiatric workload due to the 2.0 fulltime employee (FTE) psychiatrist vacancies.
Various attempts to use locum tenens placement services have been unsuccessful; the disparate locations (West Slope and South Lake Tahoe) and the multi-discipline environment (inpatient and outpatient juveniles as well as inpatient and outpatient adults) have created many obstacles to successfully placing psychiatrist(s) to help fill the need.
Amador County has agreed to provide services via their on-staff psychiatrist one day a week at a rate of $150/hour to help manage the needed services and at this time the Department recommends the Board approve the attached Agreement for Services 293-162-M-E2011.
Compensation for Services: Monthly itemized invoices submitted for allowable expenses are paid within forty-five (45) days of receipt and approval.
Contract Termination: This Agreement may be cancelled within seven (7) calendar days written notice to Amador County.
Reason for Recommendation: Approval of this Agreement will assist in managing psychiatric workload due to the 2.0 fulltime employee (FTE) psychiatrist vacancies.
Action to be taken following Board approval:
1) Chair to sign four (4) original Agreements 293-162-M-E2011.
2) Board Clerk's Office to return all signed originals to Department.
3) Department to submit all signed originals to Amador County for presentation to their Board of Supervisors.
4) Department to return one (1) fully executed Agreement to the Board Clerk's Office upon receipt from Amador County.
Contact: Kathy Lang
Concurrences: County Counsel & Risk Management