Title
Health Services Department, Mental Health Division, recommending the Board authorize the Chair to sign Agreement 082-S1210 with Gia-Evita Lanzano, M.D. in an amount not to exceed $260,000 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 current 2.0 full-time employee (FTE) psychiatrist allocation vacancies. (Cont'd 6/28/2011, Item 24)
FUNDING: Medi-Cal, Mental Health Realignment & Mental Health Services Act (MHSA).
Body
BUDGET SUMMARY: |
|
|
Total Estimated Cost |
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$260,000 |
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|
|
Funding |
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|
Budgeted |
$ |
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New Funding |
$ |
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Savings |
$260,000 |
salary savings from vacancies |
Other |
$ |
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Total Funding Available |
$260,000 |
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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. There is no Net County Cost associated with this Agreement. Appropriations are available due to salary savings from unfilled psychiatrist position allocations.
Compensation for Services: Payments will be made to Contractor based upon monthly invoicing at specified billing rates for actual services performed and documented per contract requirements. Services and rates are detailed on page 5 of the contract.
Contract Termination: This Agreement includes the County's standard Fiscal Considerations termination language, as well as a provision for the County to terminate the Agreement without cause upon seven (7) calendar days written notice.
Background: The Health Services Department, Mental Health Division (MHD) 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 full-time employee (FTE) psychiatrist position allocation 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 for both juveniles and adults) have created many obstacles to successfully placing psychiatrists.
Dr. Lanzano has agreed to provide services on a part-time basis to help alleviate the shortage of psychiatrists in MHD and the Department recommends the Board approve the attached Agreement for Services 082-S1210.
Reason for Recommendation: Approval of this Agreement is critical to enable the Department to provide essential psychiatric services for clients with serious mental illness/emotional disturbance.
Action to be taken following Board approval:
1. Chair to sign three (3) original Agreements.
2. Board Clerk's Office to return two (2) original Agreements to Health Services Department.
3. Department to distribute as appropriate.
Contact: Neda West, Health Services Department
Concurrences: This Agreement has been approved by County Counsel and Risk Management and a copy is on file in the Board Clerk's Office.