Subject:
Title
Funding agreement with BayCare Health System, Inc. for the Pinellas County Health Program.
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Recommended Action:
Recommended Action
Approval of the funding agreement with BayCare Health System, Inc. (BayCare) for hospital services for the Pinellas County Health Program (PCHP) and Health Care for the Homeless Program (HCH).
• Funding provides partial reimbursement for ambulatory and inpatient hospital care services for authorized clients who are actively enrolled in the PCHP/HCH Programs.
• The total funding available across hospital agreements is $3,000,000.00 based upon reported service level data received; the Fiscal Year (FY) 2025 Breakdown is as follows: Tarpon Springs Hospital Foundation, Inc. d/b/a Advent Health North Pinellas receiving 2.16%, BayCare receiving 69.83%, and OHI West, Inc. d/b/a Bayfront Health St. Petersburg receiving 28.00% of the funding allocation. The other two agreements were submitted separately for approval.
• Funding in an amount not to exceed $2,094,972.07 is allocated to BayCare. This is included in the total hospital allocation of $3,000,000.00 in the FY25 Human Services Adopted General Fund Budget. The agreement contains the ability to terminate should funding not be available.
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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
5.3 Ensure effective and efficient delivery of county services and support
Summary:
Summary
Funding in the amount of $2,094,972.07 provides partial reimbursement to BayCare for ambulatory and inpatient hospital care related services for authorized clients who are actively enrolled in the PCHP/HCH programs. Based upon recent utilization, the distribution across all partnering hospitals is as follows: $64,944.13 to Advent, $2,094,972.07 BayCare, and $840,083.80 to Bayfront. BayCare served 1,000 health program clients in ambulatory and inpatient settings in calendar year 2023.
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Background Information:
The PCHP provides primary care, behavioral health, and specialty care services, including hospital procedures, for uninsured adults ages 18-64 who are in need of healthcare, but meet certain income level criteria and cannot afford care on their own. The goal of the PCHP program is to prevent, diagnose, and/or treat medical and behavioral health concerns before they become an urgent matter. Under this agreement, Advent, BayCare, and Bayfront, and will coordinate with the PCHP primary care provider to provide ambulatory surgical center outpatient procedures and services, inpatient procedures and services, and patient rehabilitative services.
The total funding available across hospital agreements is $3,000,000.00. Based on reported service level data received, the FY25 breakdown is as follows: Advent receiving 2.16%, BayCare receiving 69.83%, and Bayfront receiving 28.00% of the funding allocation.
Human Services (HS) continues to partner with participating hospitals to implement effective policies and procedures for clients. Quarterly hospital coordination meetings are held to identify gaps and needs, and to explore opportunities for additional cost savings and care coordination. From these meetings, partners have worked to enhance eligibility screening processes with the hospitals, improve discharge planning coordination with the Florida Department of Health in Pinellas (DOH), and identify high use emergency room clients to look for trends and treatment needs. HS will continue to facilitate quarterly meetings with our partners in FY25 to further the progress on these efforts.
Fiscal Impact:
Funding in the amount of $2,094,972.07 is allocated to BayCare under this agreement. A total of $3,000,000.00 to support three (3) hospital agreements is consistent with the FY25 Proposed Budget.
This agreement contains a fiscal non-funding clause, should this portion of the budget not be approved.
Staff Member Responsible:
Karen Yatchum, Director, Human Services
Partners:
Advent
BayCare
Bayfront
Florida Department of Health, Pinellas County Health Department
HCH Co-Applicant Board
Attachments:
BayCare Funding Agreement