Legislation Details

File #: 24-0025D    Version: 1
Type: Purchasing Delegated Item Status: Agenda Ready
File created: 1/8/2024 Department: Human Services
On agenda: 3/31/2024 Final action: 2/14/2024
Title: Seventh Amendment to the Agreement with KPMG, LLP for the evaluation of the Pinellas County Adult Behavioral Health System.
Attachments: 1. 190-0003 SEVENTH AMENDMENT
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Subject:

Title

Seventh Amendment to the Agreement with KPMG, LLP for the evaluation of the Pinellas County Adult Behavioral Health System.

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Recommended Action:

Recommended Action

Approval and execution of the Seventh Amendment to the Agreement KPMG, LLC for the evaluation of the Pinellas County Adult Behavioral Health System.

 

•                     This contract provides support to identify, develop, and implement innovative solutions to elevate the behavioral health system of care in Pinellas County, to include the development of an actionable strategic plan, development, and implementation of an optimal data set, and the research, design, and procurement support of the Coordinated Access Model (CAM).

•                     This Seventh Amendment provides for an extension for Phase 2 of the CAM and a revision to the scope of work

•                     There is no cost associated with this Amendment to provide for full delivery of support and validation of any remaining deliverables under the current agreement.

•                     The original agreement was approved by the Board of County Commissioners (Board) on December 10, 2019, in the amount of $464,742.00 for a twelve-week engagement over four phases: define, discover, design, and recommendations.

o                     The First Amendment approved April 21, 2020, by the County Administrator provided a 90-day no-cost extension to allow for public presentation and discussion during a time of travel and other restrictions due to COVID-19.

o                     The Second Amendment, approved by the Board on October 20, 2020, increased the contract in the amount of $555,000.00 for Phase 2 which included the development and implementation of an ODS and extended the contract through July 31, 2021.

o                     The Third Amendment, approved by the Board on June 8, 2021, increased the contract for a revised total contract of $2,119,742.00. This amendment provided for the first part of Phase 3, the research, design, and procurement support for the CAM, and extended the contract through July 31, 2022.

o                     The Fourth Amendment, approved by County Administrator on August 01, 2022, provided an extension until July 31, 2023, at no cost to the County to provide time for the completion of activities related to the CAM research, design, and procurement support.

o                     The Fifth Amendment, approved by the Board on January 17, 2023, provided an extension through December 31, 2023, and increased the contract for a revised total contract of $3,414,742.00, for full delivery of twelve months of support and validation of any remaining deliverables under the current agreement.

o                     The Sixth Amendment approved by Division Director of Purchasing and Risk Management on April 10, 2023, provided a revision to a scrivener’s error that had no fiscal impact.

o                     This amendment provides a time extension from December 31, 2023, to September 30, 2024, and has no fiscal impact.

 

 

Contract No. 190-0003-LI in the current total not to exceed amount of $3,414,742.00. There is no fiscal impact associated with this amendment.

Body

 

Strategic Plan:

Ensure Public Health, Safety, and Welfare
2.1 Provide planning, coordination, prevention, and protective services to ensure a safe and secure community
2.2 Be a facilitator, convener, and purchaser of services for those in need

Deliver First Class Services to the Public and Our Customers
5.1 Maximize partner relationships and public outreach
5.2 Be responsible stewards of the public’s resources
5.3 Ensure effective and efficient delivery of county services and support

 

Summary:

This Seventh Amendment will provide continued support for Phase 3 of the plan to elevate behavioral health in Pinellas County by providing an extension to allow for full delivery of support and validation of any remaining deliverables under the current agreement at no cost to the County.

 

Background/Explanation:

In December of 2019, following a competitive process through the Purchasing & Risk Division, the County entered into an agreement with KPMG for an actionable strategic plan that would enhance and elevate the Pinellas County Adult Behavioral Health System. The resulting strategic report (Phase 1) outlined pathways toward an improved system of care. KPMG further recommended prioritizing two key actions:
1. Establish a systemic performance management approach collectively with all funders and contractual ODS requirements for all providers (Phase 2).
2. Establish a robust CAM with a 1-800 number, standardized screening, triage, scheduling practices, and evaluation of current provider systems (Phase 3).
The original agreement was approved by the Board of County Commissioners (Board) on December 10, 2019, in the amount of $464,742.00 for a twelve-week engagement over four phases: define, discover, design, and recommendations.
Subsequent amendments included:

- The First Amendment approved April 21, 2020, by the County Administrator provided a 90-day no-cost extension to allow for public presentation and discussion during a time of travel and other restrictions due to COVID-19.
- The Second Amendment, approved by the Board on October 20, 2020, increased the contract in the amount of $555,000.00 for Phase 2 which included the development and implementation of an ODS and extended the contract through July 31, 2021.
- The Third Amendment, approved by the Board on June 8, 2021, increased the contract for a revised total contract of $2,119,742.00. This amendment provided for the first part of Phase 3, the research, design, and procurement support for the CAM, and extended the contract through July 31, 2022.
- The Fourth Amendment, approved by County Administrator on August 01, 2022, provided an extension until July 31, 2023, at no cost to the County to provide time for the completion of activities related to the CAM research, design, and procurement support.
- The Fifth Amendment, approved by the Board on January 17, 2023, provided an extension through December 31, 2023, and increased the contract for a revised total contract of $3,414,742.00, for full delivery of twelve months of support and validation of any remaining deliverables under the current agreement.
- The Sixth Amendment approved by Division Director of Purchasing and Risk Management on April 10, 2023, provided a revision to a scrivener’s error that had no fiscal impact.

 

Fiscal Impact:

There is no fiscal impact associated with this amendment.

 

Delegated Authority:

Authority for the County Administrator to sign this this extension is granted under (Code Section 2-62 (a)(2).

 

Staff Member Responsible:

Karen Yatchum, Director, Human Services
Merry Celeste, Division Director, Purchasing and Risk Management
Joe Lauro, Director, Administrative Services

 

Partners:

Unite USA, Inc. dba Unite Us
Pinellas Integrated Care Alliance
Pinellas County Behavioral Health System of Care Partners

 

Attachments:

Seventh Amendment