Agenda Item AGENDA STAFF REPORT ASR Control 23-000927
MEETING DATE:	01/09/24
legal entity taking action:	Board of Supervisors
board of supervisors district(s):	2
SUBMITTING Agency/Department:	Health Care Agency (Approved)
Department contact person(s):	Joanne Lim (714) 647-6048
	Erin Winger (714) 647-4510

Subject: Renewal for Inpatient Hospital Services for Correctional Health Services

ceo CONCUR

County Counsel Review

Clerk of the Board

Concur

Approved Agreement to Form

Discussion

3 Votes Board Majority

Budgeted: N/A

Current Year Cost: N/A

Annual Cost: FY 2024-25 $6,161,880

Staffing Impact:

# of Positions:

Sole Source: N/A

Current Fiscal Year Revenue: N/A

Funding Source: GF: 77%, State: 23% (Realignment)	County Audit in last 3 years: No
Levine Act Review Completed: Yes

Prior Board Action: 5/24/2022 #51, 12/14/2021 #24, 5/25/2021 #22, 6/2/2020 #26

RECOMMENDED ACTION(S):

Approve Amendment No. 4 to renew the Contract with Anaheim Global Medical Center, Inc. for provision of Inpatient Hospital Services for Correctional Health Services, for the term of July 1, 2024, through June 30, 2025, for an increased amount not to exceed $6,161,880, for a revised cumulative contract total amount not to exceed $30,809,400.

Authorize the County Procurement Officer or Deputized designee to execute Amendment No. 4 with Anaheim Global Medical Center, Inc. as referenced in the Recommended Action above.

SUMMARY:

Approval of Amendment No. 4 to renew the Contract with Anaheim Global Medical Center, Inc., for the provision of Inpatient Hospital Services for Correctional Health Services will allow continued provision of medical care to persons in Orange County's custody at its detention facilities.

BACKGROUND INFORMATION:

The Health Care Agency is requesting your Honorable Board of Supervisors' (Board) approval of a Renewal Amendment with Anaheim Global Medical Center, Inc. (AGMC) for Inpatient Hospital Services.

The County of Orange (County) is mandated to provide medical care to persons in the County's custody pursuant to State of California Penal Code Sections 4011 and 4015 and Government Code Section 29602. The Health Care Agency's (HCA) Correctional Health Services (CHS) Programs is the designated provider of medical care to persons in custody on behalf of the Orange County Sheriff's Department (OCSD) for adults and on behalf of the Probation Department for youth residing at Juvenile Hall and associated camps, and currently contracts with AGMC to provide Inpatient Hospital Services for CHS. This is the last renewal and the HCA plans to issue a solicitation to continue services at the conclusion of the proposed contract term. Prior to contract expiration HCA plans to issue a solicitation to continue service. The Orange County Preference Policy is not applicable to this Amendment.

On June 2, 2020, the Board approved the selection of and Contract with AGMC for provision of Inpatient Hospital Services for CHS for the term of July 1, 2020, through June 30, 2021, and the additional actions below have been executed pursuant to Board Authority.

Board Date	Contract/Amendment	Action	Term
June 2, 2020	Contract	Board Approved Contract	July 1, 2020-June 30, 2021
May 25, 2021	Amendment No. 1	Board Approved six-month term extension	July 1, 2021-December 31, 2021
December 14, 2021	Amendment No. 2	Board Approved six-month term extension	January 1, 2022-June 30, 2022
May 24, 2022	Amendment No. 3	Board Approved two-year term extension	July 1, 2022-June 30, 2024

Scope of Services

AGMC has been providing Inpatient Hospital Services for CHS since 1989 and provides a locked detention unit staffed by members of the OCSD. The unit consists of 11 inpatient hospital beds and clinical exam space, paid at a negotiated rate, with services provided 24 hours a day, seven days per week, including inpatient hospital, emergency and outpatient specialty care to in-custody patients requiring those services.

Performance Outcomes

From January 1, 2023, through November 30, 2023, 335 inmates and youth required hospitalization, and 2,483 inmates and youth received outpatient specialty services in the unit.

The Contractor’s performance has been confirmed as satisfactory. HCA has verified there are no concerns that must be addressed with respect to Contractor’s ownership/name, litigation status or conflicts with County interests.

The proposed Amendment No. 4 with AGMC does not currently include subcontractors or pass through to other providers. See Attachment C for Contract Summary Form.

HCA requests the Board approve Amendment No. 4 to renew the Contract with AGMC for the provision of Inpatient Hospital Services for CHS, as referenced in the Recommended Actions.

FINANCIAL IMPACT:

Appropriations for this Amendment will be included in Budget Control 042 FY 2024-25 Budget.

The proposed Contract includes provisions allowing HCA to terminate the Contract, reduce the level of services, and/or renegotiate the levels of services provided, as necessary. This includes a notice that allows HCA adequate time to transition or terminate services to clients, if necessary.

STAFFING IMPACT:

N/A

ATTACHMENT(S):

Attachment A - Amendment No. 4 to Contract MA-042-20011621 for Inpatient Hospital Services with AGMC
Attachment B - Redline to Contract MA-042-20011621 with AGMC
Attachment C - Contract Summary Form
Attachment D - California Penal Code Section 4011
Attachment E - California Penal Code Section 4015
Attachment F - California Government Code Section 29602