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Agenda Item
ASR
Control 23-000593 |
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MEETING
DATE: |
09/26/23 |
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legal entity taking action: |
Board
of Supervisors |
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board of supervisors district(s): |
All
Districts |
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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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Adil
Siddiqui (714) 834-6619 |
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Subject: Amendment for Behavioral Health
Digital Solutions 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: $10,695,000 |
Annual Cost: N/A |
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Staffing Impact: |
No |
# of Positions: |
Sole Source: Yes |
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Current Fiscal Year Revenue: N/A
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Prior Board Action: 8/9/2022 #16, 4/27/2021 #23, 1/14/2020
#25, 4/9/2019 #10 |
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RECOMMENDED
ACTION(S):
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1. |
Approve Amendment No. 3 to Contract with
Chorus Innovations, Inc. for Behavioral Health Digital Solutions Services,
increasing the not to exceed amount by $10,695,000, for the term of September
26, 2023, through June 30, 2024, for a revised cumulative contract total
amount not to exceed $27,920,000, renewable for two additional one-year
terms. |
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2. |
Authorize the County Procurement Officer
or Deputized designee to execute Amendment No. 3 to Contract with Chorus
Innovations, Inc. as referenced in the Recommended Action above. |
SUMMARY:
Approval to execute Amendment No. 3
to amend the Contract with Chorus Innovations, Inc. will expand the development
and refinement of a suite of integrated digital health solutions which,
collectively, will improve access to and quality of client care, optimize
workforce capacity and increase data integrity for Mental Health and Recovery
Services within the Health Care Agency.
BACKGROUND
INFORMATION:
On April 27, 2021, your Honorable
Board of Supervisors (Board) approved the Contract with Chorus Innovations,
Inc. (Chorus) for provision of Behavioral Health Digital Solutions Services
(formerly Behavioral Health System Transformation OC Navigator Services). Below
are additional Board actions that were executed pursuant to appropriate
authorities.
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Board
Date |
Contract/Amendment |
Action |
Term |
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April
9, 2019 |
Proposal |
Board
approved Innovation Proposal |
May
24, 2019 - May
23, 2021 |
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January
14, 2020 |
Participation
Agreement |
Board
approved Participation Agreement |
January
21, 2020 - June
30, 2022 |
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April
27, 2021 |
Contract |
Board
approved Contract |
June
01, 2021 - June
30, 2024 |
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May 17, 2022 |
Amendment
No. 1 |
Deputy
Purchasing Agent Authority - Contingency Contract Increase |
June
01, 2021 - June
30, 2024 |
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August
9, 2022 |
Amendment
No. 2 |
Board
Approved Amendment |
June
09, 2022 - June
30, 2024 |
During this contract period, Chorus
has continued to partner closely with community members and Mental Health and
Recovery Services (MHRS) programs to develop, expand and refine the features
and functionality of the OC Navigator, a curated digital resource navigation
tool available in multiple languages to the public and providers for
identifying behavioral health and supportive services. Chorus has transitioned
several MHRS county and county-contracted programs, including OC Links, mobile
Crisis Assessment Teams, Crisis Stabilization Units, OC WarmLine and OC
Outreach and Engagement, onto the platform to improve program operations and
efficiency (i.e., reduction of duplicate data entry, use of paper forms,
repeated faxing or emailing of forms, etc.). In addition, Chorus is actively
working on transitioning the MHRS Crisis Residential Programs and Inpatient
Psychiatric Hospitalization Treatment Authorization Requests onto the platform
and is gathering workflow and technical requirements to transition the MHRS
Substance Use Disorder (SUD) Residential Treatment facilities. Each solution is
designed to allow visibility into current case or referral status and to
facilitate timely access to care for clients accessing these programs’
services.
As this work has progressed, public
behavioral health systems have faced several recent and emerging State and
Federal mandates related to mobile crisis response, 988, California Advancing
and Innovating Medi-Cal (CalAIM), Community Assistance, Recovery and
Empowerment (CARE) Act, Behavioral Health Services Act modernization and
others. This has resulted in new requirements and/or extensive changes to
existing requirements that affect data collection and reporting, as well as
service delivery and billing. In addition, the California Department of Health
Care Services’ External Quality Review Organization has consistently issued
audit findings to Orange County regarding limitations with its information
systems and data handling for the Mental Health Plan and Drug Medi-Cal
Organized Delivery System. Thus, MHRS must rapidly enhance its technical capabilities
to be able to respond to these simultaneous reforms, mandates and audit
findings to avoid revenue loss and/or potential sanctions.
The proposed Amendment will expand
currently incorporated programs and includes a variety of enhancements needed
to improve overall functionality and reporting, as outlined below:
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Enhancements to
improve the searchability, content and/or organization of resources in two
solutions: OC Navigator, Multi-Language Support |
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• |
Enhancements to
existing programmatic and incoming referral workflows in four existing
solutions: OC Links, Mobile Crisis Assessment Team, Crisis Stabilization
Units, OC Outreach & Engagement |
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Three new
customized solutions for crisis programs: Crisis Residential, In-Home Crisis
Stabilization, Treatment Authorization Request for Psychiatric
Hospitalizations |
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Integration of
data collection and program workflows required to support CARE Act
implementation |
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Initial
development of a comprehensive, secure Closed-Loop Referrals and Linkages
system that facilitates MHRS providers’ ability to successfully refer and
link clients across the entire MHRS system of care (i.e., Mental Health, SUD,
Crisis, Forensics, etc.) |
Collectively, the proposed work
will increase the efficiency and quality of behavioral health services by
automating manual, repetitive and often time-consuming tasks, reducing
duplicate data entry and improving data integrity while ensuring strict privacy
and security standards are maintained.
The proposed Amendment is a sole
source Contract. Development of the OC Navigator initially began in 2020 through
a Participation Agreement with the fiscal intermediary, CalMHSA. At that time,
Chorus was the only vendor qualified through CalMHSA’s Request for Statement of
Qualifications (RFSQ) with the capacity to build the suite of proposed features
for the OC Navigator. HCA did additional research to identify other vendors
that had not responded to CalMHSA’s RFSQ, and the one identified vendor
declined to submit a proposal for customizing their platform to incorporate OC
Navigator features. At present, Chorus is the only vendor that can continue the
existing contract deliverables and execute the expanded scope of work in a cost
efficient and timely process with minimal to no risk to behavioral health
consumers because the platform is already hosting custom-built digital
solutions for several 24/7 crisis programs: OC Links, mobile Crisis Assessment
Teams and all four CSU sites. Chorus has extensive knowledge of the inner
workings of HCA Programs and workflows, security clearance from HCA IT to
handle protected health information, and a host platform that supports the
daily operations of multiple HCA programs. Orange County Information Technology
is in concurrence with this Contract.
This Contract does not currently
include subcontractors or pass through to other providers. See Attachment B for
Contract Summary Form. The Orange County Preference Policy is not applicable to
the proposed Amendment. This Contract contains non-standard County contract
language. Risk Management has reviewed and approved the language regarding
Limitation of Liability and Indemnification. The completed and approved Risk
Assessment Form is attached as Attachment C.
The Contractor's performance has been confirmed as at
least 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.
HCA requests that the Board
authorize the County Procurement Officer or Deputized designee to execute
Amendment No. 3 to the Contract with Chorus Innovations, Inc. as referenced in
the Recommended Actions.
FINANCIAL
IMPACT:
Appropriations for this Contract
are included in Budget Control 042 FY 2023-24 Budget.
Funding Source:
100% State: (CARE Court Start-up
Funds, Mental Health Services Act/Prop 63, Crisis Care Mobile Unit Grant).
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. 3 to Contract No. MA-042-21011323
Attachment B - Contract Summary Form
Attachment C - Risk Assessment Form
Attachment D - Redline Version to Attachment A