County of Sonoma Agenda Item Summary Report

Transcription

1 Revision No County of Sonoma Agenda Item Summary Report Agenda Item Number: 15 (This Section for use by Clerk of the Board Only.) Clerk of the Board 575 Administration Drive Santa Rosa, CA To: Board of Supervisors of Sonoma County Board Agenda Date: December 12, 2017 Vote Requirement: 4/5 Department or Agency Name(s): Department of Health Services Staff Name and Phone Number: Barbie Robinson, Mike Kennedy, Title: Sober Sonoma Program Revenue Agreement Recommended Actions: Supervisorial District(s): Authorize the Director of Health Services to execute an agreement with Partnership HealthPlan of California to accept revenue of $177,081 to support the County s Sober Sonoma Program for the period of December 1, 2017 through April 30, Adopt a resolution adjusting the fiscal year final budget by increasing revenues and expenditures in the Department of Health Services by $159,373 to reflect receipt of Sober Sonoma Program grant revenue and associated expenditures. (4/5 vote required) Executive Summary: The Sober Sonoma Program was developed by the Health Care for the Homeless Collaborative, a voluntary body convened monthly since 2008 by the Sonoma County Task Force for the Homeless. The Health Care for the Homeless Collaborative s mission is to ensure that integrated health services are available to local homeless people. Participants include local hospitals, clinics, public and private behavioral and physical health agencies, the Human Services Department, homeless services agencies, law enforcement, and the courts. Many individuals across disciplines have contributed substantially in Sober Sonoma s design and implementation. Discussion: Sober Sonoma s roots were planted in 2012 when the interdisciplinary Transitions in Care group convened by St. Joseph Health identified a problem with chronically intoxicated people cycling repeatedly through local hospitals, law enforcement, ambulances, emergency rooms, detoxification, courts, and jails but never receiving substance abuse treatment. The group requested that the Health Care for the Homeless Collaborative consider creating a solution given that it had successfully designed and funded programs such as Catholic Charities Respite Care, Santa Rosa Memorial s intensive case management, and many smaller projects.

2 Revision No In 2015 Partnership Health Plan of California issued a Request for proposals focused on Social Determinants of Health Innovation. The Health Care for the Homeless Collaborative applied under the nonprofit umbrella of the Sonoma County Task Force for the Homeless, and secured funding through a grant starting March 1, 2016 to provide: - Outreach to encourage homeless addicts to engage in treatment with the long-term goal of housing and stability. - Detoxification at Orenda Center. - Six months of residential treatment as needed, during which the Outreach/Client Support Worker visits clients weekly and supports them to secure jobs, housing, and a medical home (clinic). Then up to six months of Outpatient treatment as needed. In April 2017 Sober Sonoma was informed that the Task Force for the Homeless would close by the end of the year. The Governance Group established a Transition Team including representatives from Partnership HealthPlan of California, St. Joseph s Health, the County s Task Force for the Homeless, the Community Development Commission, the Sonoma County Human Services Department, and the Department of Health Services Behavioral Health Division. The Team considered many alternatives and interviewed various local community based providers. The Team then met with Behavioral Health to discuss how to coordinate services and strategize how best to leverage the various services and new initiatives of Behavioral Health, including Whole Person Care and the Drug Medi-Cal Organized Delivery System Expansion. It became apparent to the Transition Team that the most effective plan would be to have the Sonoma County Behavioral Health Division administer the Sober Sonoma program until such time that services could be incorporated into the overall portfolio of services offered through the Behavioral Health Division. During this transitional period, Partnership HealthPlan of California will provide funding to cover the costs associated with Sober Sonoma through February The Transition Team put forward this recommendation and met with Behavioral Health staff to discuss transitioning the Sober Sonoma program over to the Behavioral Health Division. The proposed agreement with Partnership HealthPlan of California represents the final step in fulfilling the recommendation of the Transition Team. Prior Board Actions: None Strategic Plan Alignment Goal 1: Safe, Healthy, and Caring Community The Sober Sonoma Program serves to ensure that integrated health services are available to local homeless people.

3 Revision No Expenditures Funding Sources Fiscal Summary FY Adopted FY Projected Budgeted Expenses 17,708 Additional Appropriation Requested 159,373 FY Projected Total Expenditures 159,373 17,708 0 General Fund/WA GF State/Federal Fees/Other 159,373 17,708 Use of Fund Balance Narrative Explanation of Fiscal Impacts: Contingencies Total Sources 159,373 17,708 0 Funding of $159,373 will be added to the fiscal year budget via resolution. Funding of $17,708 will be included in the fiscal year budget. Position Title (Payroll Classification) Staffing Impacts Monthly Salary Range (A I Step) Additions (Number) Deletions (Number) Narrative Explanation of Staffing Impacts (If Required): N/A Attachments: Agreement with Partnership HealthPlan of California, budgetary adjustment resolution Related Items On File with the Clerk of the Board: None

4 Social Determinants of Health Implementation Grant Services Agreement This Services Agreement (the Agreement ) is made and entered into as of December 1, 2017 ( Effective Date ) by and between PARTNERSHIP HEALTHPLAN OF CALIFORNIA ( PHC ) and County of Sonoma ( Organization/Care Site ). The Agreement remains in effect up to April 30, There is no assurance or guarantee of funding beyond the term of this Agreement. FOR THIS REASON, a new agreement would be required to extend funding. BACKGROUND Partnership HealthPlan of California is a non-profit community based health care organization that contracts with the State to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effective health care. PHC provides quality health care to over 551,000 members. Beginning in Solano County in 1994, PHC now provides services to 14 Northern California counties - Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Shasta, Siskiyou, Solano, Sonoma, Trinity and Yolo. PHC wants to empower communities to develop a community collaborative to focus initiatives on Social Determinants of Health that impact their region. Research shows the social, political, and economic environments a person lives in has a large impact on health outcomes. Social determinants of health are circumstances in which people are born, grow up, live, work and age, and the systems put in place to deal with illness. Examples of social determinants of health include, but are not limited to, income and social status, education level, and urbanization. The primary goal and overall purpose of the Social Determinants of Health Implementation program ( SDH program ) is to develop and change systematic methodologies that will have a continuing impact on the health services provided to PHC members and their communities, as well as reduce overall health care costs. RECITALS WHEREAS, selected Organization/Care Site is able to provide the scope of work as set forth herein, including any attachments hereto. NOW, THEREFORE, in consideration of the mutual promises and covenants hereinafter stated, it is agreed by and between the parties hereto as follows: I. ORGANIZATION/CARE SITE DELIVERABLES Organization/Care Site will: 1. Conduct a Social Determinants of Health implementation program ( SDH program ) for a group of patients and/or community members, including PHC members, who are adversely impacted by one or more social determinant of health County of Sonoma SDH Implementation Grant Services Agreement Page 1

5 2. Coordinate with internal and external stakeholders as needed and appropriate 3. Coordinate with PHC s Quality Improvement Department, as needed 4. Designate a primary staff member to be the point of contact for the purposes of this grant a. Ensure participation requirements are fulfilled by designated staff, defined as attend telephone meetings with PHC to report on activities at minimum every three (3) months, including group-sharing activities with other care sites if applicable 5. Adhere to the following data reporting requirements and timelines as detailed below (note, reporting and progress report templates will be provided by PHC) a. Submission of revisions to project outcome measure(s) within 8 weeks of execution of the Agreement, subject to agreement by PHC b. Submission of baseline data if any revisions are made to outcome measures within eight (8) weeks of execution of the Agreement. c. Submit quarterly data by specified due date (dates defined in Appendix A) d. Complete year 1 progress report by specified due date (dates defined in Appendix A) e. Complete year 2 end-of-project report, which includes progress report and submission of all quarterly data (dates defined in Appendix A) 6. Notify PHC when utilizing volunteers and subcontractors II. FUNDING Grant payments will be issued in the amount of $177, in a 24-month period to be paid in three (3) installments: $88, upon signing of Agreement and submission of agreed-upon outcome measures (50% of total funding amount) $70, upon submission of baseline and quarterly data and completion of year 1 progress report (40% of total funding amount) $17, upon submission of quarterly data and completion of year 1 and year 2, quarter 2 progress reports (10% of total funding amount) County of Sonoma SDH Implementation Grant Services Agreement Page 2

6 III. DATA SUBMISSION 1. Initial Data Submission (See Appendix A for due dates) a. Any change to the initially agreed upon outcome measures for the Sober Sonoma program must be submitted to PHC for review and approval no later than onemonth after execution of the Agreement. 2. Quarterly Data Submission (See Appendix A for due dates) a. Quarterly submission should include relevant data specific to outcome measures and the impact on PHC health system. 1) Data will be collected monthly and submitted to PHC quarterly. 3. Annual Data Submission (note, template will be provided by PHC; see Appendix A for due dates) a. Year 1 Progress Report should include: 1) 1-2 page narrative of program lessons learned and challenges faced within the last twelve (12) months 2) Relevant data specific to outcome measures and impact on PHC health system a) Data will be collected by Organization/Care Site monthly and submitted to PHC quarterly 3) Summary of allocation of funding in the last twelve (12) months 4) Data regarding patient experience collected either via survey OR a patient focus group, which included some of the patients in the SDH program, and submit a summary of findings b. Year 2 Progress Report should include: 1) 1-2 page narrative of program lessons learned and challenges faced within the last twelve (12) and/or twenty-four (24) months 2) Relevant data related to outcome measures and impact on PHC health system a) Data will be collected by Organization/Care Site monthly and submitted to PHC quarterly 3) Summary of allocation of funding for the twenty-four (24)-month period County of Sonoma SDH Implementation Grant Services Agreement Page 3

7 4) Data regarding patient experience collected either via survey OR a patient focus group, which included some of the patients in the SDH program, and submit a summary of findings 4. Additional Data Deliverables (Note- templates and/or tracking workbooks will be provided by PHC). Data to be submitted every three (3) months, starting three (3) months after the beginning of the Agreement. a. SDH Data Tracking (data to be tracked as defined in specific initiative work plan and agreed upon by PHC). Key measures to track: 1) Data of patient enrolling in program (monthly data- unduplicated and duplicated count) a) PHC members- number of patients served, member name, birthdate, and CIN # b) Non-PHC members- collect total number of patients served 2) Brief description of service provided 3) Data as defined in scope of work of initiative application b. Enrollment summary 1) Total number of patients active in the program, stratified by PHC enrollment status a) PHC members- number of patients served, member name, birthdate, and CIN # b) Non-PHC members- collect total number of patients served 2) Number of new enrollees in past month, stratified by PHC enrollment status a) PHC members- number of patients served, member name, birthdate, and CIN # b) Non-PHC members- collect total number of patients newly enrolled 3) Number of disenrolled patients in the past month, stratified by PHC enrollment status a) PHC members- number of patients served, member name, birthdate, and CIN # b) Non-PHC members- collect total number of patients disenrolled County of Sonoma SDH Implementation Grant Services Agreement Page 4

8 IV. TERMINATION/REMEDIATION The effective date of this Agreement is December 1, 2017 and will remain in force up to April 30, PHC reserves the right to terminate this Agreement without cause by providing 30 days written notice to the other Party. Either party may terminate this Agreement for breach upon thirty (30) days prior written notice to the other specifying the reason for such breach, and in such instances where the breaching party fails to cure the breach within the thirty (30) day period. A breach may include Organization/Care Site s failure to comply with and implement the SDH Implementation program processes and implementation milestones requested by PHC, as well as a failure by Organization/Care Site to comply with the requirements under the Agreement. However, in the event that Organization/Care Site breaches this Agreement due to a failure to comply and implement the SDH Implementation program processes and criteria, PHC reserves the right to request a Corrective Action Plan ( CAP ), which should be provided by the Organization/Care Site to PHC within twenty (20) days of the Organization/Care Site s receipt of a notice of breach from PHC. Within five (5) days of receipt of such CAP, PHC may, in its sole discretion, notify the Organization/Care Site that such CAP is acceptable or unacceptable. If the CAP is unacceptable, PHC may work with the Organization/Care Site to finalize an acceptable CAP. Once accepted, a CAP will be implemented, as agreed upon and PHC s notice of breach will be tolled until the completed implementation or failure to implement the Corrective Action Plan. If no acceptable CAP can be agreed upon, the original thirty (30) day notice of termination will apply. A CAP shall be unique to each notice of breach and shall not waive PHC s right to declare a subsequent breach. In the event of PHC s termination of this Agreement due to the Organization/Care Site s breach, Organization/Care Site will forfeit future payments for SDH implementation program, as outlined in Section II (Funding). Payments made prior to the breach will be retained by the Organization/Care Site in recognition of the good-faith work actually performed by the Care Site in achieving the milestones outlined in Section II (Funding). V. OTHER PROVISIONS 1. Disputes. In the event that any dispute, claim, or controversy of any kind or nature relating to this Agreement arises between the parties, the parties agree to meet and make a good faith effort to resolve the dispute. Nothing herein is intended to prevent either party from seeking any other remedy available at law including seeking redress in a court of competent jurisdiction. This provision shall survive the termination of this Agreement. 2. Entire Agreement. This Agreement, with its exhibits, constitutes the entire agreement between the parties governing the subject matter of this Agreement. This Agreement replaces any prior written or oral communications or agreements between the parties relating to the subject matter of this Agreement. 3. Amendment. Except as may otherwise be specified in this Agreement and an applicable Exhibit, the Agreement (including its Exhibits) may be amended only by both parties County of Sonoma SDH Implementation Grant Services Agreement Page 5

9 agreeing to the amendment in writing, executed by a duly authorized person of each party. 4. Waiver/Estoppel. Nothing in this Agreement is considered to be waived by any party, unless the party claiming the waiver receives the waiver in writing. No breach of the Agreement is considered to be waived unless the non-breaching party waives it in writing. A waiver of one provision does not constitute a waiver of any other. A failure of either party to enforce at any time any of the provisions of this Agreement, or to exercise any option which is herein provided in this Agreement, will in no way be construed to be a waiver of such provision of this Agreement. 5. Force Majeure. Each party will take commercially reasonable steps to prevent and recover from disruptive events that are beyond its control and represents that it has backup systems in place in case of emergencies or natural disasters. If either party shall be, wholly or in part, unable to perform any or part of its duties or functions under this Agreement because an act of war, riot, terrorist action, weather-related disaster, earthquake, governmental action, unavailability or breakdown of equipment, or other industrial disturbance which is beyond the reasonable control of the party obligated to perform and which by the exercise of reasonable diligence such party is unable to prevent (each a Force Majeure Event ), then, and only upon giving the other party notice by telephone, facsimile or in writing within a reasonable time and in reasonably full detail of the Force Majeure Event, such party s duties or functions shall be suspended during such inability; provided, however, that in the event that a Force Majeure Event delays such party s performance for more than thirty (30) days following the date on which notice was given to the other party of the Force Majeure Event, the other party may terminate this Agreement. Neither party shall be liable to the other for any damages caused or occasioned by a Force Majeure Event. Government actions resulting from matters that are subject to the control of the party shall not be deemed Force Majeure Events. 6. Counterparts. This Agreement may be executed by electronic signatures or in one or more counterparts, each of which shall be deemed an original, but all of which, together, shall constitute one agreement. 7. Severability. If any provision of this Agreement is held to be invalid or unenforceable by a court of competent jurisdiction, then the remaining portions of the Agreement shall be construed as if not containing such provision, and all other rights and obligations of the parties shall be construed and enforced accordingly. 8. Survival of Terms. Any provisions of this Agreement, or any attachments, and exhibits, which by their nature, extend beyond the expiration, or termination of this Agreement, and those provisions that are expressly stated to survive termination, shall survive the termination of this Agreement, and shall remain in effect until all such obligations are satisfied. County of Sonoma SDH Implementation Grant Services Agreement Page 6

10 IN WITNESS WHEREOF, the parties hereto agree to this Agreement by signing below. Partnership HealthPlan of California By: Name: Liz Gibboney Title: Chief Executive Officer Address: 4665 Business Center Drive County of Sonoma By: Name: Barbie Robinson Title: Director, Department of Health Services Address: 3313 Chanate Road Fairfield, CA Santa Rosa CA Date: Date: Appendix A: Deliverable Due Dates (for All Organizations/Care Sites) Deliverable Due Date(s) Revision to Outcome Measure Submission Quarterly Progress Reports* (Data required defined above) *Report must be submitted no later than 1 month after the end of the previous quarter February 1, 2018 Data for October- December, 2017; Due- January 31, 2018 Data for January- March, 2018; Due-April 30, 2018 Data for April-June, 2018; Due- July 31, 2018 Data for July-September, 2018; Due- October 31, 2018 Data for October-December, 2018; Due-January 31, 2019 Data for January-March, 2019; Due- April 30, 2019 Operational Management Coaching Calls 12 month Narrative Quarterly calls, specific schedule determined by PHC Operational Management Team Data for March 2017-March 2018; Due- April 30, 2018 End of Project Narrative Patient Experience Data Data for March March 2019, with comprehensive program summary; Due- April 30, 2019 County of Sonoma SDH Implementation Grant Services Agreement Page 7

11 Contract No AOO Supplemental Signature Page Partnership HealthPlan of California Social Determinants of Health Implementation Grant Services Agreement Term: 10/1/2017-4/30/2019 Dated /I /J~1/J1-7~7._. or/ts/11 (.

12 County of Sonoma State of California Date: December 12, 2017 Item Number: Resolution Number: 4/5 Vote Required Resolution Of The Board Of Supervisors Of The County Of Sonoma, State Of California, Authorizing Budgetary Adjustments To The Fiscal Year Adopted Budget, Appropriating $159,373 From Partnership HealthPlan of California To The Health Services Special Revenue Fund To Allocate Funding For Grant Related Expenditures Within The Department Of Health Services. Whereas, the Board of Supervisors has adopted the final budget for fiscal year in accordance with Section of the Government Code of the State of California; and Whereas, the Government Code allows for adjustments to the adopted budget during the fiscal year. Now, Therefore, Be It Resolved that the Board of Supervisors, County of Sonoma, State of California, does hereby authorize and direct the County Auditor-Controller to adjust the fiscal year adopted budget for the increases/decreases listed in Exhibit A. Supervisors: Gorin: Rabbitt: Gore: Hopkins: Zane: Ayes: Noes: Absent: Abstain: So Ordered.

13 Resolution # Date: December 12, 2017 Page 2