HomeMy WebLinkAboutDoc 068 - Amend WEBCO AgrmtDeschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 -Fax (541) 385-3202 -www.deschutes.org
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of February 26, 2014
February 18, 2014
FROM: Nancy Mooney, Contract Specialist Phone: 322-7516
Health Services, Behavioral Health Division
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Document #2014-068, Amendment #1 to the Agreement
between Wellness and Education Board of Central Oregon and Deschutes County Health Services
(DCHS), doc #2012-599.
PUBLIC HEARING ON THIS DATE? No
BACKGROUND AND POLICY IMPLICATIONS:
The purpose of this amendment is to extend the original term of the IGA which became effective
August 1, 2012 and terminated December 31, 2013. This amendment is retroactive to December
31,2013 and will stay in effect (automatically renew) until terminated by either party. All other
terms and conditions of the original IGA remain in full force and effect.
The Central Oregon Health Board is a 190 organization formed by Crook County, Deschutes
County and Jefferson County to improve health outcomes, increase satisfaction with the health
systems and reduce healthcare costs. The goal of the Well ness and Education Board of Central
Oregon (fka Central Oregon Health Board) is to manage resources efficiently and effectively, in
collaboration with local and State Government, the hospital system, local providers, private
insurers, health collaboratives and most importantly the community and the people Deschutes
County serves.
A number of health organizations and interests in Central Oregon have been working to develop a
structure and set of functions to improve the health of people in the Central Oregon region and the
performance of the health care system in Crook, Deschutes and Jefferson Counties. Represented
organizations include all three (3) counties (Boards of Commissioners), Deschutes County Health
Services (DCHS), PacificSource, St. Charles Health System, HealthMatters, Volunteers in
Medicine, Oregon Health Authority, BestCare Treatment Services, Lutheran Community Services
NW and others. In July of 2010, the Boards of County Commissioners (Boards) in all three (3)
counties agreed in concept that the region would benefit from a formal process for the
aforementioned groups to work together more closely in adapting to health reform changes at the
national, state and local levels.
WEBCO contracts and administers contracts with the State of Oregon and any other public and
private entity to provide or secure a wide range of health services including behavioral health,
physical health and public health. In addition to the administration of contracts, the Board:
a. C~ucts a periodiC regional health assessment to inform decision-makers on such matters
as' pl.anning, policy development, system design and investments.
b. Develops and establishes policies that support Deschutes County Health Services on
behalf of the Central Oregon population.
c. Improves the coordination of funding for Deschutes County Health Services among the
counties and relevant stakeholders. This includes establishing financial systems,
maintenance of financial reserve requirements, policies, and monitoring sub-capitated funds
of the counties and other Health Service providers in Central Oregon.
d. Develops and adopts a coordinated regional
collaboration among health care providers.
Health Improvement Plan to improve
e. Collects and analyzes health system costs and outcome data to measure the quality and
performance of the health system in order to lower costs, increase access, improve
satisfaction and increase efficiency. This includes establishing management information
systems to meet reporting requirements.
f. Promotes evidence-based practices and prevention programs, including, but not limited to:
quality assurance guidelines and oversight, utilization management for services both
inpatient and outpatient, and providing member services including education and
prevention activities.
g. Promotes models of care that improve the provision of services for patients among various
providers so that individuals can navigate service systems successfully. This includes the
development and implementation of processes for hearing, monitoring and resolving
complaints and grievances.
h. Hire employees to perform administrative tasks and other duties as assigned or delegated
by the Governing Board and Administrative Council.
Through the formation of WEBCO, the counties are able to provide the best possible behavioral
health, physical health and public health services to the client population of all three counties.
FISCAL IMPLICATIONS:
Maximum compensation is $0.
RECOMMENDATION & ACTION REQUESTED:
Behavioral Health requests approval and signature.
ATTENDANCE: Scott Johnson, Director
DISTRIBUTION OF DOCUMENTS:
Original to Deschutes County Clerk for recording, scan copy to Colette Smith at:
Colette.smith@webcohub.org, one copy to Nancy Mooney at Deschutes County Health Services.
DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This fonn is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be
on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board
agenda, the Agenda Request Fonn is also required. If this fonn is not included with the document, the document will be returned to
the Department. Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the
County Administrator or the Commissioners. In addition to submitting this fonn with your documents, please submit this fonn
electronically to the Board Secretary.)
Please complete all sections above the Official Review line.
Date: I February 18, 2014 I
Department: I Health Services
Contractor Name: I Wellness and Education Board of Central Oregon (WEBCO)i
Contractor Contact: I Scott Johnson I Contractor Phone #: I 541-322-7500
Type of Document: Amendment #1 to Intergovernmental Agreement (IGA) #2012-599
Goods and/or Services: The purpose of this amendment is to extend the original term
of the IGA which became effective August 1, 2012 and terminated December 31,2013.
This amendment is retroactive to December 31,2013 and will stay in effect
(automatically renew) until terminated by either party. All other terms and conditions of
the original IGA remain in full force and effect.
Background & History: The Central Oregon Health Board is a 190 organization
formed by Crook County, Deschutes County and Jefferson County to improve health
outcomes, increase satisfaction with the health systems and reduce healthcare costs.
The goal of the Wellness and Education Board of Central Oregon (fka Central Oregon
Health Board) is to manage resources effiCiently and effectively, in collaboration with
local and State Government, the hospital system, local providers, private insurers,
health collaboratives and most importantly the community and the people Deschutes
County serves.
A number of health organizations and interests in Central Oregon have been working to
develop a structure and set of functions to improve the health of people in the Central
Oregon region and the performance of the health care system in Crook, Deschutes and
Jefferson Counties, Represented organizations include all three (3) counties (Boards of
Commissioners), Deschutes County Health Services (DCHS), PacificSource, St.
Charles Health System, HealthMatters, Volunteers in Medicine, Oregon Health
Authority, BestCare Treatment Services, Lutheran Community Services NW and others.
In July of 2010, the Boards of County Commissioners (Boards) in all three (3) counties
agreed in concept that the region would benefit from a formal process for the
aforementioned groups to work together more closely in adapting to health reform
changes at the national, state and local levels.
WEBCO contracts and administers contracts with the State of Oregon and any other
public and private entity to provide or secure a wide range of health services including
behavioral health, physical health and public health. In addition to the administration of
contracts, the Board:
2/20/2014
a. Conducts a periodic regional health assessment to inform decision
makers on such matters as planning, policy development, system design
and investments.
b. Develops and establishes policies that support Deschutes County Health
Services on behalf of the Central Oregon population.
c. Improves the coordination of funding for Deschutes County Health
Services among the counties and relevant stakeholders. This includes
establishing financial systems, maintenance of financial reserve
requirements, policies, and monitoring sub-capitated funds of the counties
and other Health Service providers in Central Oregon.
d. Develops and adopts a coordinated regional Health Improvement Plan to
improve collaboration among health care providers.
e. Collects and analyzes health system costs and outcome data to measure
the quality and performance of the health system in order to lower costs,
increase access, improve satisfaction and increase efficiency. This
includes establishing management information systems to meet reporting
requirements.
f. Promotes evidence-based practices and prevention programs, including,
but not limited to: quality assurance guidelines and oversight, utilization
management for services both inpatient and outpatient, and providing
member services including education and prevention activities.
g. Promotes models of care that improve the provision of services for
patients among various providers so that individuals can navigate service
systems successfully. This includes the development and implementation
of processes for hearing, monitoring and resolving complaints and
grievances.
h. Hire employees to perform administrative tasks and other duties as
assigned or delegated by the Governing Board and Administrative
Council.
Through the formation of WEBCO, the counties are able to provide the best possible
behavioral health, physical health and public health services to the client population of
all three counties.
Start Date:! December 31,2013! End Date:! Until Terminated!
Annual Value or Total Payment: No fiscal implications.
l8J Insurance Certificate Recei,ed (ChiCk box)
Insurance Expiration Date: N/A
Check all that apply:
D RFP, Solicitation or Bid Process
D Informal quotes «$150K)
l8J Exempt from RFP, Solicitation or Bid Process (specify -see DCC §2.37)
2/20/2014
Funding Source: (Included in current budget? [g] Yes D No
If No, has budget amendment been submitted? DYes [g] No
Is this a Grant Agreement providing revenue to the County? DYes [g] No
Special conditions attached to this grant: 1,---------,
Deadlines for reporting to the grantor: D
If a new FTE will be hired with grant funds, confirm that Personnel has been notified that
it is a grant-funded position so that this will be noted in the offer letter: DYes [g] No
Contact information for the person responsible for grant compliance: Name: D
Phone#:D
Departmental Contact and Title: I Scott Johnson, Director
Phone #: I 541-322-7502 I
Department Director Approval: '2 2-0 \Lf
Date
Distribution of Document: Original to Desc utes County Clerk for recording, scan
copy to Colette Smith at: Colette.smith@webcohub.org, one copy to Nancy Mooney at
Deschutes County Health Services.
D
Official Review:
County Signature Required (check one): 001 BOCC 0 Department Director (if <$25K)
Legal Review ? -2(1 -If
; if >$150K, BOCC Order No. _____)
Date
Document Number =20=-1..:....4.:...,-=06::::..:8=----_______
2/20/2014
6:1 rr4iJ
LEGAL COUNSEL
AMENDMENT NO.1 TO WELLNESS AND EDUCATION BOARD OF CENTRAL
OREGON (tka Central Oregon Health Board)
INTERGOVERNMENTAL AGREEMENT
This Amendment NO.1 ("Amendment") to the Well ness and Education Board of Central Oregon (fka
Central Oregon Health Board) Intergovernmental Agreement is entered into as of the date of the last
signature hereto.
RECITALS
WHEREAS, on October 22, 2012, Deschut es County, a political subdivision of the State of Oregon,
acting by and through its Department of Health Services (hereinafter "Contractor") entered into an
Intergovernmental Agreement with the Well ness and Education Board of Central Oregon
("WEBCO"), which was formed by and is comprised of its member counties (Crook, Deschutes, and
Jefferson counties, and High Desert Educational Service District ("HDESD")); and
WHEREAS, WEBCO is an ORS Chapter 190 intergovernmental entity that has as one of its primary
objectives to arrange for and facilitate the provision and delivery of behavioral health services to
persons enrolled in the Coordinated Care Organization ("CCO") program, and assigned to WEBCO
or who are covered by intergovernmental agreements with WEBCO; and
WHEREAS, services to be provided under the Intergovernmental Agreement include but are not
limited to providing behavioral health services to PacificSource Community Solutions, Inc. ("PCS")
coordinated care organization program members; and
WHEREAS, the original term of the Intergovernmental Agreement became effective on August 1,
2012, with a termination date of December 31,2013, unless terminated earlier in accordance with its
terms; and
WHEREAS, the Board desires to continue the Intergovernmental Agreement beyond the December
31,2013 termination date.
NOW, THEREFORE, in consideration ofthe covenants and agreements contained herein and other
good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the
Parties hereto agree as follows:
AGREEMENT
A. Paragraph #2.0 of the Intergovernmental Agreement is hereby amended to read as
follows:
"TERM OF AGREEMENT. This Agreement will commence on August 1, 2012 and
will remain in full force and effect for a period of two (2) years (such 2-year period,
the "Initial Term").
Option Years. Immediately after the expiration ofthe Initial Term, this Agreement
will automatically renew for additional successive one-year terms, unless the Parties
otherwise agree in writing at least sixty (60) days in advance of the renewal term
commencement date that the Agreement will not be renewed. The consideration of
each option year will be the same as the consideration during the previous contract
period, unless otherwise agreed in writing."
Page 1 of 2 AMENDMENT NO.1 TO WELLNESS AND EDUCATION BOARD OF CENTRAL OREGON (fka Central
Oregon Health Board) INTERGOVERNMENTAL AGREEMENT
B. COUNTERPARTS. This Amendment NO.1 may be executed simultaneously
or in counterparts, each of which will be deemed an original, but all of which together will
constitute one in the same contract.
C. EXCEPT AS AMENDED HEREBY, all terms and conditions of the
Intergovernmental Agreement dated October 22, 2012, shall remain in full force and effect.
D. EFFECTIVE DATE. The parties hereto agree that the effective date of this
Amendment NO.1 shall be retroactive to December 31,2013.
IN WITNESS WHEREOF, the parties have read this Amendment NO.1 to
Intergovernmental Agreement dated October 22, 2012, in its entirety, agree to it and hereby
assert that they have the authority to bind their respective parties to it.
WELLNESS AND EDUCATION BOARD OF CENTRAL OREGON (WEBCO)
lLisL :l)d/V
Mike Ahern, Commissioner Date
Je~ d)rJh4
Tammy Baney, CommiSSi Z r Date
Desc s County
Date
Date
BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY
Date
Date
Anthony DeBone, Commissioner Date
ATIEST:
Recording Secretary
Page 2 of 2 AMENDMENT NO.1 TO WELLNESS AND EDUCATION BOARD OF CENTRAL OREGON (fka Central
Oregon Health Board) INTERGOVERNMENTAL AGREEMENT
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