To: Board of Supervisors
From: DHHS: Mental Health
Agenda Section: Consent
SUBJECT:
title
First Amendment to the Professional Services Agreement with Nightingale Nurses, LLC Regarding the Provision of Supplemental Registered Nursing Personnel to Fill Various Positions at Department of Health and Human Services - Mental Health Facilities
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve, and authorize the Chair of the Board to execute, the attached first amendment to the professional services agreement with Nightingale Nurses, LLC regarding the provision of supplemental registered nursing personnel for the period of June 29, 2018 through June 30, 2019;
2. Authorize the Department of Health and Human Services - Mental Health Director, or a designee thereof, to execute any and all subsequent amendments to the professional services agreement with Nightingale Nurses, LLC regarding the provision of supplemental registered nursing personnel after review and approval by County Counsel, Risk Management and the County Administrative Office; and
3. Direct the Clerk of the Board to return two (2) fully executed original copies of the attached first amendment to the professional services agreement with Nightingale Nurses, LLC to the Department of Health and Human Services - Contract Unit for further processing.
Body
SOURCE OF FUNDING:
Mental Health Fund
DISCUSSION:
The Humboldt County Department of Health and Human Services - Mental Health (DHHS - Mental Health) is responsible for providing mental health services to all eligible individuals being served at DHHS - Mental Health’s Psychiatric Health Facility, Crisis Stabilization Unit, Medication Support Clinics and other county facilities, including, without limitation, the Humboldt County Juvenile Hall, the Humboldt County Correctional Facility and the North Coast Regional Facility. In order to meet such obligations, DHHS - Mental Health has contracted with qualified professional staffing firms, including Nightingale Nurses, LLC, who have historically provided supplemental registered nursing personnel due to the difficulties associated with recruiting and retaining qualified psychiatric registered nurses in Humboldt County.
On April 7, 2015 (Item C-13), the Board authorized the DHHS - Mental Health Director to execute professional services agreements regarding the provision of supplemental registered nursing personnel. Pursuant to such authority, the DHHS - Mental Health Director has entered into professional services agreements with six professional staffing firms, five of which currently provide supplemental registered nursing personnel for DHHS - Mental Health’s Psychiatric Health Facility and Crisis Stabilization Unit.
On June 29, 2018, the DHHS - Mental Health Director executed the current professional services agreement with Nightingale Nurses, LLC for the period of June 29, 2018 through June 30, 2019. The attached first amendment to the professional services agreement with Nightingale Nurses, LLC will increase the maximum amount payable thereunder in order to cover unexpected utilization of the staffing services provided by Nightingale Nurses, LLC.
Accordingly, DHHS - Mental Health recommends that the Board approve, and authorize the DHHS - Mental Health Director, or a designee thereof, to execute, the attached first amendment to the professional services agreement with Nightingale Nurses, LLC regarding the provision of supplemental registered nursing personnel to fill various positions at DHHS - Mental Health facilities. In addition, in order to avoid potential delays in the provision of needed supplemental registered nursing personnel, DHHS - Mental Health also recommends that the Board authorize the DHHS - Mental Health Director, or a designee thereof, to execute any and all subsequent amendments to the professional services agreement with Nightingale Nurses, LLC, after review and approval by County Counsel, Risk Management and the County Administrative Office.
FINANCIAL IMPACT:
The attached first amendment to the professional services agreement with Nightingale Nurses, LLC will increase the maximum amount payable thereunder $650,000 to $1,300,000 for the period of June 29, 2018 through June 30, 2019. However, if local, state or federal funding is reduced or eliminated, the County of Humboldt may reduce the above-referenced maximum amount payable or terminate the attached professional services agreement with Nightingale Nurses, LLC in its entirety.
Expenditure appropriations related to the attached first amendment to the professional services agreement with Nightingale Nurses, LLC have been included in the approved Fiscal Year 2018-2019 DHHS - Mental Health Administration budget unit 1170-424. As a result, approval of the attached first amendment to the professional services agreement with Nightingale Nurses, LLC will not impact the Humboldt County General Fund.
STRATEGIC FRAMEWORK:
The recommended actions support the Board of Supervisors’ Strategic Framework by protecting vulnerable populations, creating opportunities for improved safety and health and providing community-appropriate levels of services.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could choose to not approve the attached first amendment to the professional services agreement with Nightingale Nurses, LLC regarding the provision of supplemental registered nursing personnel to fill various positions at DHHS - Mental Health facilities. However, this alternative is not recommended since it may delay the provision of professional psychiatric services to eligible individuals being served at DHHS - Mental Health facilities.
ATTACHMENTS:
1. First Amendment to the Professional Services Agreement with Nightingale Nurses, LLC Regarding the Provision of Supplemental Registered Nursing Personnel to Fill Various Positions at DHHS - Mental Health Facilities dated June 29, 2018
2. Professional Services Agreement with Nightingale Nurses, LLC Regarding the Provision of Supplemental Registered Nursing Personnel to Fill Various Positions at DHHS - Mental Health facilities dated June 29, 2018
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-13
Meeting of: 4/7/15
File No.: N/A