HomeMy WebLinkAboutApprove Submittal of Letter of Interest and Application for (2) ��NT1NGro 2000 Main Street,
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File #: 23-954 MEETING DATE: 11/7/2023
REQUEST FOR CITY COUNCIL ACTION
SUBMITTED TO: Honorable Mayor and City Council Members
SUBMITTED BY: Al Zelinka, City Manager
VIA: Travis K. Hopkins, Assistant City Manager
PREPARED BY: Brian Smith, Lieutenant
Grace Yoon-Taylor, Principal Management Analyst
Subject:
Approve submittal of a Letter of Interest and application for CalOptima Health's Street
Medicine Program to provide preventive health, urgent care, and social services directly to
homeless individuals at no direct cost to the City
Statement of Issue:
City Council is asked to approve and authorize the City Manager to submit a Letter of Interest and
application on behalf of the City for CalOptima Health's Street Medicine Program.
If the City's application were selected, CalOptima Health would provide street medical services to the
unsheltered and/or those at risk of homelessness in Huntington Beach, at no direct cost to the City.
Prior to CalOptima Health's implementation of the program, staff would return to the City Council for
additional approval on any program agreements and documents, as required.
Financial Impact:
There is no current fiscal impact associated with this request. If selected, CalOptima Health's Street
Medicine Program would be offered within the Huntington Beach community at no direct cost to the
City.
The only impact to the City would be minimal in-kind administrative support that includes City staff
time for the initial planning and implementation phase and a small office space for the Street
Medicine program providers to operate out of. This Letter of Interest does not obligate the City to
provide any direct funding now or in the future.
Recommended Action:
A) Approve the submission of the City's Letter of Interest and application to CalOptima Health's
Street Medicine Program; and
City of Huntington Beach Page 1 of 3 Printed on 11/1/2023
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File #: 23-954 MEETING DATE: 11/7/2023
B) Authorize the City Manager to execute and submit all application documents on behalf of the City.
Alternative Action(s):
Do not approve, and direct staff accordingly.
Analysis:
In October, CalOptima Health issued a Notice of Interest Opportunity (Attachment 1) to accept letters
of interest from qualified Orange County cities to participate in its existing Street Medicine Program.
This Program is a new partnership-driven, in-community program to offer preventive health services,
urgent care, and social services specifically to meet the unique needs and circumstances of
unsheltered individuals where they are. The Program purpose is to help reduce barriers to medical
care and follow-through services and prevent emergency department utilization.
Earlier this year, Garden Grove was the first City selected to launch this Program in the County to
deliver health care services to their homeless community, and CalOptima Health has announced an
expansion to other qualified Orange County cities.
The Street Medicine Program is a mobile medical clinic with two care teams (a coordination care
team of two caseworkers and a medical care team of a physician assistant and registered nurse) that
engage in integrated outreach, identifying unsheltered individuals in the field, and connecting them to
necessary preventive, urgent, and primary care services. Such services include ongoing medical
care, ordering and reading labs, prescribing medications and referrals to specialists and urgent care
as needed.
This Program is expected to complement and enhance the City's existing homeless System of Care,
while maintaining quality of life for the entire Huntington Beach community.
To apply, the City must submit the Letter of Interest (Attachment 2) and online application by
November 8, 2023. If selected, the Street Medical Program would be launched around April 2024.
Environmental Status:
This action is not subject to the California Environmental Quality Act (CEQA) pursuant to Sections
15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change
in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the
• CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for
resulting in physical change to the environment, directly or indirectly.
Strategic Plan Goal:
Goal 4 - Homelessness, Strategy A - Explore options to collaborate with faith and community-based
organizations, the City's HB Cares Volunteer program, CalOptima, and others to provide social
services in a cost-effective manner.
For details, visit www.huntingtonbeachca.gov/strategicplan
<http://www.huntingtonbeachca.gov/strategicplan>.
City of Huntington Beach Page 2 of 3 Printed on 11/1/2023
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File #: 23-954 MEETING DATE: 11/7/2023
Attachment(s):
1. CalOptima Health Notice of Interest Opportunity for Street Medicine Expansion
2. Letter of Interest- City of Huntington Beach
City of Huntington Beach Page 3 of 3 Printed on 11/1/2023
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City Council/ ACTION AGENDA November 7, 2023
Public Financing Authority
CITY MANAGER'S REPORT - None
CONSENT CALENDAR (ITEMS 8-25)
CITY CLERK
8. 23-924 Approved and Adopted Minutes
Recommended Action:
A) Approve and adopt the City Council/Public Financing Authority regular meeting minutes of
October 17, 2023; and
B) Approve and adopt the City Council/Public Financing Authority special meeting minutes of
October 23, 2023.
Approved 7-0 as amended by supplemental communication (revised 10/17/23 minutes)
9. 23-956 Received and Filed October Update of Activities for Citizen Boards,
Commissions, Committees (BCCs) and Regional Agencies
Recommended Action:
Receive and File.
Approved 7-0 as amended by supplemental communication (addition of OC Mosquito and
Vector Control District information)
10. 23-955 Received and filed the revised 2023 City Council Liaison List to
Citizen Boards, Commissions and Committees (BCCs) updated November
2023
Recommended Action:
Receive and file the revised 2023 City Council Liaison List to Citizen Boards, Commissions and
Committees updated November 2023.
Approved 7-0
CITY MANAGER
11. 23-954 Approved submittal of a Letter of Interest and application for CalOptima
Health's Street Medicine Program to provide preventive health, urgent
care, and social services directly to homeless individuals at no direct cost
to the City
Recommended Action:
A) Approve the submission of the City's Letter of Interest and application to CalOptima Health's
Street Medicine Program; and
B) Authorize the City Manager to execute and submit all application documents on behalf of the
City.
Approved 7-0 as amended to update Letter of Interest date
Page 4 of 10
CalOptima Health :
Notice of Interest Opportunity for
Street Medicine Expansion
CalOptima Health is accepting letters of interest from Orange County cities to
expand its Street Medicine Program.
Application Deadline — November 3, 2023, 5 p.m. (PST)
Background
CalOptima Health's mission is to serve member health with excellence and dignity,respecting
the value and needs of each person. In line with that mission,CalOptima Health has made a
commitment to address the health of our unsheltered members through our partnership-driven
Street Medicine Program. Street medicine includes health and social services specifically
developed to meet the unique needs and circumstances of unsheltered individuals.The
fundamental approach of street medicine is to engage people experiencing homelessness where
they are and on their own terms in order to maximally reduce or eliminate barriers to care and
follow-through services.Working in collaboration with various county, city and community
organizations, CalOptima Health's Street Medicine Program's ultimate goal is to improve the
overall health and housing status of the unsheltered individuals served.
CalOptima Health's Street Medicine Program Values and
Philosophies
CalOptima Health's Street Medicine Program is a critical piece of a larger, comprehensive
approach to caring for our members living on the street and on their journey home. In addition to
being able to provide important preventive services,urgent care and social services,this program
fosters the relationship building that is key to helping a person into a permanent home.
CalOptima Health's Street Medicine Program relies on three integrated components to achieve
those health and housing outcomes: (1) Outreach and engagement, (2) coordinated medical care
that meets people where they are,and (3) comprehensive Enhanced Care Management(ECM)
and Community Supports.
The Street Medicine Program has a set of core values and philosophies that are recognized as
best practices and,as research has demonstrated, drives the program toward success. First is the
practice of trauma-informed care,which includes the principles of safety, choice, collaboration,
trustworthiness and empowerment. In practice,this entails meeting individuals where they are
both literally and figuratively. Street medicine providers meet individuals in their identified
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home while showing the individual unconditional positive regard.The Street Medicine Program
follows the philosophy of rapport first and care second,meaning the relationship the provider
develops with those they serve is the foremost priority. Only once rapport is established can there
be meaningful physical care. Similarly,the person must come first in street medicine, and being
person-centered is a core philosophy of the program.
In addition to the above, utilizing a canvassing approach is crucial to street medicine. It goes
hand in hand with meeting members where they are and takes some of the work, coordination
and stress off the individual,as they do not have to navigate to a brick-and-mortar location.The
street medicine providers canvas an identified geographical location to both enroll new
individuals and provide comprehensive medical and social care, including ECM and Community
Supports.
By ensuring the above philosophies and values are at the heart of the CalOptima Health Street
Medicine Program,we are confident all selected street medicine providers can effectively treat
the whole person and move them towards achieving the goals of the program.
Description of CalOptima Health's Street Medicine Program
The foundation of CalOptima Health's Street Medicine Program is two collaborative care teams,
a coordination care team and a medical care team,that provide integrated outreach, engagement
and comprehensive service provision. Collectively these teams engage in a canvassing-based
approach to identify unsheltered members in the field and connect them to necessary preventive,
urgent and primary care services.The coordination care team members are primarily responsible
for identifying eligible members who agree to participate in the program and then providing
services such as ECM,housing navigation(and additional housing-related Community Supports
as applicable), routine face-to-face visits to address various medical needs and scheduling
appointments with the medical care team.The medical care team is responsible for primary
medical care including, but not limited to,ongoing medical care, ordering and reading labs,
prescribing medications,and referrals to specialists and urgent care as needed.The medical care
team offers all enrolled patients the opportunity to have the street medicine providers serve as
their primary care provider(PCP).Together,these teams are designed to serve a caseload of up
to 200 unsheltered members.
To ensure proper care and support for patients enrolled in the program, service provision
standards have been established. For the medical care team,there is to be a minimum of one
patient encounter with every person enrolled in the program every 45 days,with encounters
varying depending on the acuity of medical needs.For the care coordination team,there is to be
a minimum of one patient encounter with every person enrolled in the program per week.
Services are more frequently provided based on each patient's specific needs.
69
CalOptima Health's Commitment
While CalOptima Health serves as the lead of our Street Medicine Program,we believe that a
partnership-driven, collaborative effort between CalOptima Health and city personnel leads to
the most effective and sustainable outcomes for our members living on the street.
In support of this partnership, CalOptima Health is committed to:
1. Delivering compassionate and dignified medical and social care to its unsheltered
members to reduce barriers to quality medical and social care and improve the health
outcomes of unsheltered individuals.
2. Collaborating with the selected cities to ensure seamless integration of its Street Medicine
Program with consideration of the cities'broader endeavors to address homelessness.
3. Proactively engaging with the selected cities in the planning process and maintaining
transparent communication throughout.
4. Inviting the selected cities to provide feedback on the top two provider proposals for their
city.
5. Financially supporting the startup and launch of a street medicine team designed to serve
a caseload of 200 unsheltered members.
6. Scheduling and chairing regular steering committee meetings and inviting all relevant
stakeholders.
7. Closely supervising the providers to ensure the effective realization of the program's
goals and objectives.
8. Providing routine outcome data to the cities based on the goals of CalOptima Health's
Street Medicine Program.
9. Allocating space for the street medicine providers and the van on CalOptima Health
property.
10. Remaining receptive to feedback from the cities pertaining to its Street Medicine
Program.
City's Commitment
In support of this partnership,the selected city commits to:
1. Collaborating with CalOptima Health to welcome street medicine services within the
city's jurisdiction,thereby supporting the compassionate and dignified treatment of its
unsheltered residents in order to foster a sense of belonging within the community and
improve their health outcomes.
2. Attesting their 2022 Point-in-Time Count showed a minimum of 200 sheltered and/or
unsheltered individuals OR, alternatively,providing data proving such.
3. Formally recognizing CalOptima Health as the program lead and acting in support of •
CalOptima Health's Street Medicine Program framework.
4. Providing feedback in selecting a street medicine provider.
5. Collaborating with the provider CalOptima Health selects for service provision.
70
6. Sharing data on unhoused city residents with CalOptima Health, as appropriate or
needed.
7. Actively participating in the planning and implementation of the Street Medicine
Program by attending the Street Medicine Steering Committee meetings.
8. Ensuring that law enforcement and fire personnel actively engage in the collaborative
efforts needed to effectively run the Street Medicine Program.
9. Allowing CalOptima Health's Street Medicine Program to serve all zip codes within the
city's jurisdiction.
10.Assisting in locating properties within the city's jurisdiction that can serve as street
medicine support centers in Phase II of CalOptima Health's Street Medicine Program.
11. Supporting the Street Medicine Program launch in their city no sooner than April 2024.
Evaluation Criteria
Criterion Maximum Basis for Assigning Points
Points
1. CalOptima Health core City's demonstrated commitment to
value alignment, including trauma-informed, inclusive,person
commitment to treat centered programs and those that align with
individuals with dignity 20 harm-reduction principles.
and respect
2. Comprehensive, existing City must demonstrate experience and
efforts and strategies to commitment to addressing the
address homelessness 15 homelessness crisis.
3. Existing partnerships and City must describe existing partnerships
community involvement that will positively contribute to the Street
15 Medicine,Program.
4. Uploaded letter of interest Application portal includes a letter of
5 interest that must be signed by the city
manager.
5. All attestations complete Application portal includes attestations that
5 must be made regarding the Street
Medicine Program.
Total Earnable Points 60
71
Timeline
Activity Date ,
Portal opens. Oct. 6,2023,at 9 a.m.
Application deadline Nov. 8,2023, at 5 p.m.
Internal.review Nov.:9-22,2023;
CalOptima Health Board of Directors _ Dec. 7,2023
Meeting
Documents and Portal Access
The letter of interest template, a series of qualitative questions, as well as the required city
attestations will be made available on the following portal:
https://webportalapp.com/sp/streetmedicine
Questions about this opportunity? Contact Nicole Garcia,Director,Medi-Cal and CalAIM, at
nico le.garcia(a)caloptima.org.
72
JT CITY OF HUNTINGTON BEACH
U ,S
_ 2000 MAIN STREET, HUNTINGTON BEACH, CALIFORNIA 92648-2702
OFFICE OF CITY MANAGER
AL ZELINKA, FAICP, CMSM
November 8, 2023
Michael Hunn
Chief Executive Officer
CalOptima Health
505 City Parkway West
Orange, CA 92868
Subject: Letter of Interest—CalOptima Health Street Medicine Program
Dear Mr. Hunn,
I am writing on behalf of the City of Huntington Beach to express our keen interest in
collaborating with CalOptma Health as a host city for the expansion of CalOptima Health's
Street Medicine Program in 2024.
We have received and agreed to the attestations within the online platform for CalOptima
Health's Street Medicine opportunity and this letter reflects our commitment to be a
collaborative partner if our City were to be selected.
We recognize the importance of integrating our resources and expertise with your existing Street
Medicine Program and our City is committed to addressing the health care needs of its
unsheltered neighbors and those at risk of homelessness in a holistic way.
'nc •ely,
Al Zeli
City Manager
CC: Mayor Tony Strickland and members of the City Council
Travis Hopkins,Assistant City Manager
Eric Parra, Police Chief
Acting Captain Brian Smith
Jessica Kelley, Social Services Supervisor
Fax 714.536.5233 Page 1 of 1 Office: 714.536.5575
CalOptima Street Medicine Application—Attesting the following:
City of Huntington Beach -submitted via online platform.
The city attests to its commitment to collaborate with CalOptima Health to welcome
street medicine services within the city's jurisdiction, thereby supporting the
compassionate and dignified treatment of its unsheltered residents in order to foster a
sense of belonging within the community and improve their health outcomes.
The city hereby attests to having a minimum of 200 sheltered and/or unsheltered
homeless people during the 2022 Point-in-Time Count. Alternatively, the city attests that
it possesses verifiable data demonstrating the presence of a minimum of 200 sheltered
or unsheltered homeless individuals currently residing within its jurisdiction.
The city attests to formally recognizing CalOptima Health as the program lead and
acting in support of CalOptima Health's Street Medicine Program framework.
The city attests to its commitment to provide feedback in the process of selecting a
street medicine provider.
The city attests to its willingness to collaborate with the provider selected by CalOptima
Health for the provision of street medicine services.
The city attests to its willingness to share appropriate or needed data regarding
unhoused residents with CalOptima Health.
The city attests to its active participation in the planning and implementation of
CalOptima Health's Street Medicine Program, including attendance at Street Medicine
Steering Committee meetings.
The city attests to ensuring active engagement of law enforcement and fire personnel in
the collaborative efforts necessary for the effective operation of CalOptima Health's
Street Medicine Program.
The city attests to granting permission for CalOptima Health's Street Medicine Program
to serve all zip codes falling within the city's jurisdiction.
The city attests to its commitment to assist in identifying suitable properties that can
function as a street medicine support center in Phase II of CalOptima Health's Street
Medicine Program.
The city attests to the agreement that CalOptima Health's Street Medicine Program will
commence no earlier than April 2024 within its jurisdiction.
Electronically signed by City Manager,Al Zelinka
0 0��� 1iNGr°" CITY OF HUNTINGTON BEACH
`1" 2000 MAIN STREET, HUNTINGTON BEACH, CALIFORNIA 92648-2702
O
`�ou Tv ;;` OFFICE OF CITY MANAGER
AL ZELINKA, FAICP, CMSM
October 30, 2023
Michael Hunn
Chief Executive Officer
CalOptima Health
505 City Parkway West
Orange, CA 92868
Subject: Letter of Interest—CalOptima Health Street Medicine Program
Dear Mr. Hunn,
I am writing on behalf of the City of Huntington Beach to express our keen interest in
collaborating with CalOptma Health as a host city for the expansion of CalOptima Health's
Street Medicine Program in 2024.
We have received and agreed to the attestations within the online platform for CalOptima
Health's Street Medicine opportunity and this letter reflects our commitment to be a
collaborative partner if our City were to be selected.
We recognize the importance of integrating our resources and expertise with your existing Street
Medicine Program and our City is committed to addressing the health care needs of its
unsheltered neighbors and those at risk of homelessness in a holistic way.
Sincerely,
Al Zelinka
City Manager
CC: Mayor Tony Strickland and members of the City Council
Travis Hopkins, Assistant City Manager
Eric Parra, Police Chief
Acting Captain Brian Smith
Jessica Kelley, Social Services Supervisor
Fax 714.536.5233 Page 1 of 1 Office: 714.536.5575
73
From: Fikes,Cathy
To: Aaenda Alerts
Subject: FW:YES on Item 23-954 CalOptima
Date: Monday, November 6,2023 5:23:17 PM
From: Paula Schaefer<pas92649@gmail.com>
Sent: Monday, November 6, 2023 4:42 PM
To: CITY COUNCIL(INCL. CMO STAFF) <city.council@surfcity-hb.org>
Subject: YES on Item 23-954 CalOptima
Mayor and City Council members,
I encourage you to vote YES to participate in CalOptima's Street Medicine program.
This is an excellent opportunity for the City Council to further the City's current efforts to
assist people who are living on Huntington Beach's streets and who likely need medical care.
In requesting to join - and hopefully being selected to participate in the Street Medicine program,
you would be enhancing everyone's health.
Do the right thing and vote YES to participate.
Paula Schaefer, HB resident
SUPPLEMENTAL
COMMUNICATION
11/07/2023
Meeting Date:
Agenda item NO.; 11 (23-954)