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Agenda Item
ASR
Control 25-000535 |
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MEETING
DATE: |
09/23/25 |
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legal entity taking action: |
Board
of Supervisors |
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board of supervisors district(s): |
2 |
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SUBMITTING Agency/Department: |
Health
Care Agency (Approved) |
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Department contact person(s): |
Veronica
Kelley (714) 834-7024 |
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Joanne
Lim (714) 647-6048 |
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Subject: Renewal for On-Site Psychiatry and
Telepsychiatry Services
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ceo CONCUR |
County Counsel Review |
Clerk of the Board |
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Concur |
Approved
Agreement to Form |
Discussion |
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3
Votes Board Majority |
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Budgeted: Yes |
Current Year
Cost: $3,800,000 |
Annual Cost: FY 2026-27 $8,925,915 |
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Staffing Impact: |
No |
# of Positions: |
Sole Source: No |
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Current Fiscal Year Revenue: N/A
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Prior Board Action: 8/27/2024 #13, 3/14/2023 #26 |
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RECOMMENDED
ACTION(S):
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1. |
Approve Amendment No. 4 to renew the
Master Contract with various providers for the provision of On-Site
Psychiatry and Telepsychiatry Services for the term April 1, 2026, through
March 31, 2027, renewable for one additional one-year term, and to increase
the contract’s aggregate amount not to exceed by $12,725,915, for a revised
amount not to exceed $36,229,575, effective October 1, 2025, through March
31, 2027. |
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2. |
Authorize County Procurement Officer or
Deputized designee to execute Master and individual amendments with Bridge
Telehealth, Lavaca Street Ventures, LLC, and Orbit Health, as referenced in
the Recommended Action above. |
SUMMARY:
Approval of Amendment No. 4 to the
Master Contract with various providers for the provision of On-Site Psychiatry
and Telepsychiatry Services will allow for continued on-site and telehealth
mental health services for patients under the care of Behavioral and
Correctional Health Services in custody in the County of Orange detention
facilities.
BACKGROUND
INFORMATION:
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) division is the designated provider of
health care to adult persons in custody on behalf of the Orange County
Sheriff's Department. Over the past decade, the number of mental health cases
within the jail system has risen significantly. This upward trend has continued
in recent years, with a 10 percent increase from 2023 to 2024, and an
additional 24 percent increase from 2024 to the present. The average jail daily
population is 3,941 individuals. CHS provides mental health care to
approximately 58 percent of this population. These services include, but are
not limited to, psychiatric evaluation, development of treatment plans,
medication management and crisis intervention and management. Historically
recruitment for psychiatrists and mental health nurse practitioners has proven
to be difficult due to the competitive market, work environment, nature of the
work location and the extensive background process. As such a renewal for these
services is needed to provide the required medical care.
The Orange County Preference Policy is not
applicable to these Contracts.
The actions below have been executed
pursuant to appropriate authorities:
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Board Date |
Contract/Amendment |
Action |
Term |
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March 14, 2023 |
Contract |
Board Approved Contract |
April 1, 2023-March 31, 2026 |
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N/A |
Amendment No. 1 |
Deputy Purchasing Agent (DPA), Delegated
Authority, Administrative Revision |
April 1, 2023-March 31, 2026 |
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August 27, 2024 |
Amendment No. 2 |
Board Approved Increase |
April 1, 2023-March 31, 2026 |
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N/A |
Amendment No. 3 |
DPA, Delegated Authority, Administrative
Revision |
April 1, 2023-March 31, 2026 |
Scope
of Services
The contract outcomes call for
psychiatric evaluations for each custody patient that meet the referral
criteria for further evaluation after an extensive intake screening.
Psychiatric evaluations include a review of each Custody Patient’s medical and
psychiatric history, diagnosis, and treatment plan. This criteria is met for
the 58 percent of the population receiving mental health care.
As of June 2025, CHS provided care
to 2,290 mental health patients on a daily basis. Staffing levels are revised
to reflect the current service demands and ensure continued compliance to care
standards. This Master Contract is established to provide both telepsychiatry
and on-site psychiatric contract personnel for patient care services within
Adult CHS. These services include, but are not limited to, psychiatric
evaluation, development of treatment plans, medication management and crisis
intervention and management for this patient population. As this is a contract
for contracted personnel for patient care services for inmates, traditional
performance measures are not required; however, HCA does review the following:
time needed to fill requests, retention rates, quality of hires, candidates
experience, and background screenings to ensure the contracted personnel meet
required care standards.
The Contracts with Bridge Telehealth,
Lavaca Street Ventures, LLC, and Orbit Health, do not currently include
subcontractors or pass throughs to other providers. The Contractors’
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. See Attachment E for
Contract Summary Forms.
FINANCIAL
IMPACT:
Appropriations for this Contract
are included in Budget Control 042 FY 2025-26 Budget and will be included in
the budgeting process for future years.
The Contracts include provisions allowing
HCA to terminate the Contracts, 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 Master Contract MA-042-23010987 for On-Site Psychiatry
and Telepsychiatry Services
Attachment B – Amendment No. 4 to Contract MA-042-23010987 with Bridge
Telehealth
Attachment C – Amendment No. 4 Contract MA-042-23010987 with Lavaca Street
Ventures, LLC Attachment D – Amendment No. 4 to Contract MA-042-23010987 with
Orbit Health
Attachment E – Contract Summary Form
Attachment F – State and Government Codes