Subject:
Title
Pinellas County Health Program hospital provider agreement renewals.
label
Recommended Action:
Recommended Action
Approval of the First Option of Renewal and Amendment 2 with Tarpon Springs Hospital Foundation, Inc. d/b/a AdventHealth North Pinellas (Advent), Second Option of Renewal and Amendment 3 with BayCare Health System, Inc. (BayCare), and First Option of Renewal and Amendment 2 with Bayfront HMA Medical Center, LLC d/b/a Bayfront Medical Center (Bayfront) for hospital services for the Pinellas County Health Program (PCHP) and Health Care for the Homeless (HCH).
• Funding provides partial reimbursement for ambulatory and inpatient hospital care related services for authorized clients who are actively enrolled in the PCHP/HCH programs. These Renewals renew partnerships for an additional twelve months and adjust the funding breakdown based upon the most recent utilization data.
• The total funding available across hospital agreements is $3,000,000.00. Based on reported service level data received, the Fiscal Year (FY) 2020 breakdown is as follows: Advent receiving 5.4%, BayCare receiving 69.7%, and Bayfront receiving 24.9% of the funding allocation.
• Funding in the amount not to exceed $3,000,000.00 has been included in the Human Services’ proposed General Fund appropriation for FY21.
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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 $3,000,000.00 provides partial reimbursement for ambulatory and inpatient hospital care related services for authorized clients who are actively enrolled in the PCHP/HCH programs. Based upon recent utilization, the distribution is as follows: $162,000.00 to Advent, $2,091,000.00 to Baycare, and $747,000.00 to Bayfront.
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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 will coordinate with the PCHP 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 Fiscal Year (FY) 2020 breakdown is as follows: Advent receiving 5.4%, BayCare receiving 69.7%, and Bayfront receiving 24.9% 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 FY2020 to further the progress on these efforts.
Fiscal Impact:
Funding in the amount of $3,000,000.00 to support these agreements is consistent with the FY21 Proposed Budget. Contract amounts are distributed as follows: Advent- $162,000.00; Baycare- $2,091,000.00; and Bayfront- $747,000.00.
Staff Member Responsible:
Daisy Rodriguez, Director, Human Services
Partners:
Advent
BayCare
Bayfront
DOH
HCH Co-Applicant Board
Attachments:
Advent Renewal
Baycare Renewal
Bayfront Renewal
Hospital Review