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42 <br /> NEXT STEPS <br /> The BOCC is being asked to endorse the recommendation presented in this report.This is an important,but preliminary step toward realization <br /> of the ideas contained in this recommendation.Additional work is needed to advance the project to an operating Facility in Orange County.The <br /> next steps are outlined below. <br /> Risk Mitigation. Compile additional data and conduct additional studies to reduce the uncertainty in current projections of the number and <br /> type of patients who will be served by the Facility, refine estimates of costs and benefits,and identify/evaluate funding options. <br /> Design. Conduct a preliminary design of Facility space to provide a proper basis for a financial assessment.This will include identifying and <br /> assessing potential locations for the Facility. <br /> Licensing and Staff Planning. Identify licensing options/requirements,associated staff plan and Facility attributes,insurance billing policies <br /> and practices,and identify/evaluate potential Facility operators. <br /> Governance. Determine and assess options regarding ownership and governance for the Facility. <br /> Policy/Procedures.Identification of needed policy and procedure enhancements for all stakeholders to ensure county-wide collaboration <br /> leading to realizing the Facility's full potential. <br /> Projected Savings.Develop/refine projection of savings that may accrue due to reduced clinical and criminal justice burden. <br /> Sources and Uses of Funds.Project capital/operating budgets for Facility. Identify/assess funding arrangements for the first five years of <br /> operation including local government,state government,LMEs/insurance,and private philanthropic organizations. <br /> Road Map.Develop an implementation plan or road map for establishing an operating Facility in Orange County in an expedited manner. <br /> 29 <br />