TO: Board of Supervisors
FROM: Becky Craig - Acting County Executive Officer
REPORT BY: Michael Parker - Senior Management Analyst
SUBJECT: Approval of Agreement No. 230166B with Bischoff Performance Improvement Consulting and Agreement No. 230159B with Collabria Care
RECOMMENDATION
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Acting County Executive Officer and Director of Health and Human Services Agency (HHSA) requests approval of and authorization for the Chair to sign Agreement No. 230166B with Bischoff Performance Improvement Consulting for $228,250 and Agreement No. 230159B with Collabria Care for $127,750, both for the term of September 1, 2022, through June 30, 2024, in order to conduct an Older Adults Needs Assessment and Strategic Action Plan.
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EXECUTIVE SUMMARY
On August 23, 2022, the Board received a presentation from staff on a joint proposal from Bischoff Performance Improvement Consulting (Bischoff Consulting) and Collabria Care to conduct an Older Adults Pandemic Recovery Needs Assessment. This collaboration between Bischoff Consulting, Collabria Care, and the Area Agency on Aging Napa Solano (via in-kind support), will produce two deliverables: (1) an assessment of the current needs of Napa County’s older adults, in the context of the pandemic and a strategic action plan identifying ways to build resiliency among older adults as they recover from the pandemic; and (2) a fund development plan to close the gaps between older adults’ needs and what’s currently available in Napa County. This 22-month project will commence September 1, 2022, and conclude on June 30, 2024.
By May 2024, the Area Agency on Aging (AAA) serving Napa and Solano Counties is required by the California Department of Aging to have its Four-Year Area Plan in place. Through this proposal, the AAA has agreed to be a strategic partner in planning and implementing this assessment and strategic action plan, enabling the outcomes of this project to satisfy and align with the AAA’s community planning obligations to the State and avoiding duplicative efforts. It is anticipated that the Strategic Action Plan that is developed from this proposal will be adopted as the AAA Local Plan for Napa County’s part of that plan.
At the August 23rd presentation, the Board directed staff to return at a subsequent Board meeting to execute agreements with both Bischoff Consulting and Collabria Care. Today’s requested action is for approval of and authorization for the Chair to sign Agreement No. 230166B with Bischoff Performance Improvement Consulting for $228,250, and Agreement No. 230159B with Collabria Care for $127,750. The Agreement with Bischoff Consulting will be held by the County Executive Office and paid from the General Fund. The Agreement with Collabria Care, an organization co-located with HHSA’s Comprehensive Services for Older Adults, will be managed by HHSA, funded through Mental Health Services Act monies, specifically through prevention and early intervention categories. HHSA’s proposed agreement with Collabria Care further leverages and strengthens the Board’s existing MSA grant commitments to older adult focused services.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Non-Departmental (Org 1050000), and HHSA’s Mental Health Division (Org 2000200) |
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Is it Mandatory or Discretionary? |
Discretionary |
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Discretionary Justification: |
There is no mandate to contract for these services, however, partnering with these vendors under these agreements will allow for an Older Adults Needs Assessment and Strategic Action Plan to close the gaps within the Napa County older adult’s community. |
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Is the general fund affected? |
Yes |
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Future fiscal impact: |
Appropriations for Fiscal Year 2022-23 have been included in the requested budget and appropriations for future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
An Older Adults Needs Assessment and Strategic Action Plan will not occur. |
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County Strategic Plan pillar addressed: |
Collaborative and Engaged Community |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.
BACKGROUND AND DISCUSSION
Napa County’s older adults have been disproportionately negatively affected by COVID-19, experiencing more hospitalizations and deaths than any other age group in the community. Older adults have faced extremely high levels of social isolation throughout the pandemic, negatively impacting their mental health and wellness. A significant number of older adults face transportation and/or language access barriers, further limiting their recovery from the pandemic. Napa County has an older adult population that’s higher than average, compared to the other counties in the state, and expected to continue to rise. The 65 and older population is the most rapidly growing population in Napa County, with the latest statistics indicating that 28% of Napa County residents are age 60 and above. Through its ongoing work, HAPI (Napa County Healthy Aging Population Initiative) has identified many pressing priorities for the older adult community, including having access to long-term services, support for elders and their caregivers, and workforce development to address the shortage of caregivers to meet the elder care/caregiving demand.
In June 2021, California Governor Gavin Newsom announced the Governor’s Master Plan for Aging, which outlines 5 bold goals and 23 strategies to build a California for All Ages by 2030. The goals of the Governor’s ten-year master plan, intended to support older adults’ recovery from the pandemic, include the following:
1. Housing for All Ages and Stages: We will live where we choose as we age, in communities that are age-, disability-, and dementia-friendly and climate- and disaster-ready.
2. Health reimagined: We will have access to the care and services we need to optimize our health and quality of life and to continue to live where we choose.
3. Inclusion & Equity, Not Isolation: We will have lifelong opportunities for work, volunteering, community engagement, and leadership and will be protected from isolation, discrimination, abuse, neglect, and exploitation.
4. Caregiving that Works: We will be prepared for and supported through the rewards and challenges of caring for aging and disabled loved ones.
5. Affording Aging: We will have economic security as long as we live.
On August 23, 2022, the Board received a presentation from staff on a joint proposal from Bischoff Performance Improvement Consulting and Collabria Care to conduct an Older Adults Pandemic Recovery Needs Assessment. This collaboration between Bischoff Consulting, Collabria Care and the Area Agency on Aging (via in- kind support), will produce two deliverables: (1) an assessment of the current needs of Napa County’s older adults, in the context of the pandemic, and a strategic action plan identifying ways to build resiliency among older adults as they recover from the pandemic; and (2) a fund development plan to close the gaps between older adults’ needs and what’s currently available in Napa County. This 22-month project will commence September 1, 2022, and conclude on June 30, 2024.
By May 2024, the Area Agency on Aging (AAA) Serving Napa and Solano Counties is required by the California Department of Aging to have its Four-Year Area Plan in place. The AAA will be a strategic partner in planning and implementing this assessment and strategic action plan, enabling the outcomes of this project to satisfy AAA’s community planning obligations to the State and avoiding duplicative efforts. It is anticipated that the Strategic Action Plan that is developed from this proposal will be adopted as the AAA Local Plan for Napa County’s part of that plan.
At the August 23rd presentation, the Board directed staff to return at a subsequent Board meeting in order to execute agreements with both Bischoff Performance Improvement Consulting and Collabria Care in order to fund the aforementioned proposal. Today’s requested action is for approval of and authorization for the Chair to sign Agreement No. 230166B with Bischoff Performance Improvement Consulting for $228,250, and Agreement No. 230159B with Collabria Care for $127,750.
Collabria Care is a community based organization located within Napa County, while Bischoff Performance Improvement Consulting is a consulting firm located in Sonoma, CA.