Subject:
Title
First Option of Renewal and Amendment No.1 to the agreement with BayCare Health System, Inc. for the Pinellas County Health Program and Health Care for the Homeless.
label
Recommended Action:
Recommended Action
Approval of the First Option of Renewal and Amendment No.1 to the agreement with BayCare Health System, Inc. (BayCare) for hospital services for the Pinellas County Health Program (PCHP) and Health Care for the Homeless (HCH).
The Renewal and Amendment No.1 provides funding adjustments to the current level of funding based upon utilization rates of Pinellas County Health Program/Healthcare for the Homeless clients during Fiscal Year (FY) 2018.
The total funding available across hospital agreements is $3,000,000.00. Based on reported service level data received, the FY20 breakdown is as follows: BayCare receiving 70.3%, Bayfront receiving 26.2%, and AdventHealth North Pinellas receiving 3.5% of the funding allocation.
• Funding provides partial reimbursement for ambulatory and inpatient hospital care related services for authorized clients who are actively enrolled in the Pinellas County Health Program/Healthcare for the Homeless programs.
• Funding in an amount not to exceed $2,109,000.00 is included in Human Services’ proposed General Fund appropriation for FY20.
• On September 25, 2018, the Board of County Commissioners approved the original agreement with BayCare.
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
5.3 Ensure effective and efficient delivery of county services and support
Summary:
Funding in the amount of $2,109,000.00 provides partial reimbursement for ambulatory and inpatient hospital care related services for authorized clients who are actively enrolled in the PCHP/HCH programs.
Background Information:
The PCHP/HCH 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/HCH program is to prevent, diagnose, and/or treat medical and behavioral health concerns before they become an urgent matter. Under this agreement, BayCare will coordinate with the PCHP/HCH 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 FY20 breakdown is as follows: BayCare receiving 70.3%, Bayfront receiving 26.2%, and AdventHealth North Pinellas receiving 3.5% 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 FY20 to further the progress on these efforts.
Fiscal Impact:
Funding in the amount not to exceed $2,109,000.00 has been included in FY20 Proposed Budget for this purpose.
Staff Member Responsible:
Daisy Rodriguez, Director, Human Services
Partners:
BayCare Health System, Inc.
AdventHealth North Pinellas
Bayfront HMA Medical Center, LLC.
Homeless Leadership Board
Florida Department of Health in Pinellas County
Attachments:
First Option of Renewal and Amendment 1 - BayCare Health System, Inc.