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Home My WebLink AboutDoc 100 - OHA - Behav Health Deschutes 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 March 25, 2015 _____________________________ DATE: March 16, 2015 FROM: Nancy Mooney, Contract Specialist, Deschutes County Health Services, 322-7516 TITLE OF AGENDA ITEM: Consideration of Board Signature of Document #2015-100, Amendment #20 to the Intergovernmental Financial Agreement Award #141408 between Deschutes County Health Services, Behavioral Health Division and the Oregon Health Authority for the financing of Community Addictions and Mental Health Services for year 2013- 2015. PUBLIC HEARING ON THIS DATE? No. BACKGROUND AND POLICY IMPLICATIONS: Deschutes County Health Services (DCHS) provides or coordinates the provision of mental health and developmental disability treatment services to individuals; services may include alcohol and drug treat ment, problem gambling prevention treatment services, transportation services, housing services and the provision of peer resources. The intergovernmental agreement between the Oregon Health Authority (OHA) and DCHS provides the financing for mental health and addiction services and sets forth the guidelines for DCHS to provide or coordinate provision of mental health services to individuals. Amendment #20 awards Deschutes County $193,750 for the time period 2/1/2015 through 6/30/2015 for the Emergency Department (ED) Diversion Project. At the heart of the Health Integration Project is the ED Diversion Project, which connects patients -- who use the emergency room multiple times a year -- with a primary care provider. Community health workers are non-traditional health professionals who work directly with patients, as guides and advocates, to help them navigate the healthcare system. Health engagement teams led by a primary care physician are developed to coordinate patient care including a case manager who’s a registered nurse, a psychologist or social worker, community health workers and representatives from the primary medical home. Currently, ten (10) clinics in Central Oregon either have such teams in place or in the development process. The team creates an “individualized plan of care” for each patient – a road map of interventions and goals tailored to their needs. It details information such as the patient’s demographics, their primary reason for a visit, a treatment plan for chronic conditions, including medications and other courses of action if the patient goes to the emergency room again. The Central Oregon Health Council has determined that the ED diversion project has been successful in achieving the goals of the Triple Aim: better health, better care, and lower cost, and as such has become an important intervention in the Central Oregon community. Learnings from this project continue to inform the development of integration projects locally and across the state, using the collaborative care models developed in this initial project. FISCAL IMPLICATIONS: Funding is $193,750. RECOMMENDATION & ACTION REQUESTED: Approval and signature of Document #2015-100, Amendment #20 to Intergovernmental Financial Agreement Award #141408 between Deschutes County Health Services, Behavioral Health and the Oregon Health Authority is requested. ATTENDANCE: Request Consent Agenda DISTRIBUTION OF DOCUMENTS: Fax or E-mail the signature page and completed, signed "Document Return Statement" and the signature page to Tami Goertzen; tami.j.goertzen@state.or.us or (503) 373-7365, fully executed copy to Nancy Mooney. DESCHUTES COUNTY DOCUMENT SUMMARY (NOTE: This form 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 Form is also required. If this form 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 form with your documents. please submit this form electronically to the Board Secretary.) Please complete all sections above the Official Review line. Date: I March 12, 2015 Department: I Health Services, Behavioral Health 1 Contractor/Supplier/Consultant Name: 1 Oregon Health Authority Contractor Contact: 1 Tami Goertzen 1 Contractor Phone #: 1 503-373-7365 Type of Document: Amendment #20 to #141408 Goods and/or Services: Amendment #20 awards Deschutes County $193,750 for the time period 2/1/2015 through 6/30/2015 for the Emergency Department (ED) Diversion Project. Background & History: Deschutes County Health Services (DCHS) provides or coordinates the provision of mental health and developmental disability treatment services to individuals; services may include alcohol and drug treatment, problem gambling prevention treatment services, transportation services, housing services and the provision of peer resources. The intergovernmental agreement between the Oregon Health Authority (OHA) and DCHS provides the financing for mental health and addiction services and sets forth the guidelines for DCHS to provide or coordinate provision of mental health services to individuals. At the heart of the Health Integration Project is the ED Diversion Project, which connects patients --who use the emergency room multiple times a year --with a primary care provider. Community health workers are non-traditional health professionals who work directly with patients, as guides and advocates, to help them navigate the healthcare system. Health engagement teams led by a primary care physician are developed to coordinate patient care including a case manager who's a registered nurse, a psychologist or social worker, community health workers and representatives from the primary medical home. Currently, ten (10) clinics in Central Oregon either have such teams in place or in the development process. The team creates an "individualized plan of care" for each patient - a road map of interventions and goals tailored to their needs. It details information such as the patient's demographics, their primary reason for a visit, a treatment plan for chronic conditions, including medications and other courses of action if the patient goes to the emergency room again. The Central Oregon Health Council has determined that the ED diversion project has been successful in achieving the goals of the Triple Aim: better health, better care, and lower cost, and as such has become an important intervention in the Central Oregon community. Learnings from this project continue to inform the development of integration projects locally and across the state, using the collaborative care models developed in this initial project. Agreement Starting Date: 1 July 01, 2013 1 Ending Date: 1 June 30, 2015 1 Annual Value: 1 $193,750.1 3/12/2015 ·1 Check all that apply: o RFP, Solicitation or Bid Process o Informal quotes «$150K) L8J Exempt from RFP, Solicitation or Bid Process (specify -see DCC §2.37) Funding Source: (Included in current budget? L8J Yes 0 No If No, has budget amendment been submitted? 0 Yes L8J No Is this a Grant Agreement providing revenue to the County? 0 Yes [gI No Special conditions attached to this grant: <-I_--' 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: 0 Yes D No Contact information for the person responsible for grant compliance: Name: D Phone#: Departmental Contact and Title: Phone #: I 541-322-7516 I Deputy Director Approval: Department Director Approval: I Nancy Mooney, Contract Specialist I ~~ ~()l ~Vl(arVU Signa~re __ . Date ~~ Signature Date I Distribution of Document: Fax or E-mail the signature page and completed, signed "Document Return Statement" and the signature page to Tami Goertzen; tami.j.goertzen@state.or.us or (503) 373-7365, fully executed copy to Nancy Mooney. j Official Review: e): ~ County Signature Required (check onT BOCC 0 Department Director (if <$25K) o Administrator (if> K ~~50'Yf >$150K, BOCC Order No. )1 j Legal Review ~ I V 1 Document Number: =20=-1.....,5:;...-..:..10=0"--____, j I ! I I, Date 3 ..-\ ,,-{~ 3/12/2015 ADMINISTRATIVE SERVICES DIVISION Office of Contracts and Procurement Health Allthority John A. Kilzhaber, MD, Governor In compliance with the Americans with Disabilities Act, this document is available in alternate formats such as Braille, large print, audio recordings, Web-based communications 250 Winter St NE, Room 306 Salem, OR 97301 Voice: (503) 945-5818 FAX: (503) 378-4324 and other electronic formats, To request an alternate format, please send an e-mail to dhs-oha.publicationrequest@state.or.us or call 503-378-3486 (voice) or 503 378-3523 (TTY) to arrange for the alternative format. TWENTIETH AMENDMENT TO OREGON HEALTH AUTHORITY 2013-2015 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF COMMUNITY ADDICTIONS AND MENTAL HEALTH SERVICES AGREEMENT #141408 This Twentieth Amendment to Oregon Health Authority 2013-2015 Intergovemmental Agreement for the Financing of Community Addictions and Mental Health Services dated as of July 1, 2013(as amended, the "Agreement"), is entered into, as of the date of the last signature hereto, by and between the State of Oregon acting by and through its Oregon Health Authority ("OHA") and Deschutes County ("County"). RECITALS WHEREAS, OHA and County wish to modify the OWITS Financial Assistance Award set forth in Exhibit D-2 of the Agreement. NOW, THEREFORE, in consideration of the premises, 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 1. The financial and service information in the OWITS Financial Assistance are hereby amended as described in Exhibit 1 attached hereto and incorporated herein by this reference. Exhibit 1 must be read in conjunction with the portion of Exhibit D-2 of the Agreement that describes the effect of an amendment of the fmancial and service information. 2. Capitalized words and phrases used but not defined herein shall have the meanings ascribed thereto in the Agreement. DC -2015-10.. 3. County represents and warrants to OHA that the representations and warranties of County set forth in section 4 of Exhibit G of the Agreement are true and correct on the date hereof with the same effect as if made on the date hereof. 4. Except as amended hereby, all terms and conditions of the Agreement remain in full force and effect. 5. This Amendment may be executed in any number of counterparts, all of which when taken together shall constitute one agreement binding on all parties, notwithstanding that all parties are not signatories to the same counterpart. Each copy of this Amendment so executed shall constitute an originaL IN WITNESS WHEREOF, the parties hereto have executed this amendment as of the dates set forth below their respective signatures. Deschutes County By: Authorized Signature Title Date State of Oregon acting by and through its Oregon Health Authority By: Authorized Signature Title Date Document date: 112012015 Amendment # 20 Page 2 Reference # NA Exhibit 1 to the 20th Amendment to Oregon Health Authority 2013-2015 Intergovernmental Agreement for the Financing of Community Addictions and Mentallfealth Services Agreement #141408 Document date: 112012015 Amendment # 20 Page 3 Reference # NA 11161ic15 12:06:02 PM OREGON HEALTH AUTHORrTY OWITS FINANCIAL ASSISTANCE AWARD 2013-2015 ExhibitD-2 CONTRACT Deschutes County CONTRACT#: 141408 NAME: EFFECTIVE 7/11201312:00:00AM AMENDNENT#: 20 DATE: ADDICTIONS AND MENTAL HEALTH SERVICES SERVICE REQUIREMENTS MEET EXHIBIT B, MHS 37-FLEXIBLE FUNDING Deschutes Coo~141408 Fund Source Description Start Date End Date Approved Funding Level Payment Frequency Special Condition 0301 COMM MH BLOCK ODD YR FF 93.958 SUB-RECIP1ENT 0210112015 02128/2015 $50,000.00 lump Sum These funds may only be used in accordance with federal regulations related to the MH Block Grant 0301 COMM MH BLOCK ODD YR FF 93.958 SUB-RECIPIENT 02I0112Q15 0613012015 $93,750.00 Monthly These funds may only be used in ' accordance with federal regulations related to the MH arock Grant 0301 COMM MH BLOCK ODD YR FF 93.958 SUB-RECIPIENT 0$/0112015 0613012015 $50,000.00 Lump Sum These funds may only be used in accordance with federal regulations related to the MH Block Grant Total Authorized Amount of this Amendment - $193,750.00 ~-- Amendment Reason: Funds are awarded for Fund Source 0301 MH Bloc:k Grant for ED Pilot Diversion. ----<