COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

 

DATE:

August 22, 2003

BOARD MEETING DATE:

September 9, 2003

 

TO:

Honorable Board of Supervisors

FROM:

Nancy J. Steiger, Chief Executive Officer, San Mateo Medical Center

 

SUBJECT:

Agreement with Gambro Healthcare Renal Care, Inc., a Nevada Corporation

 

Recommendation

Adopt a resolution authorizing the President of the Board to execute an agreement with Gambro Healthcare Renal Care, Inc., a Nevada Corporation to provide acute dialysis for patients at San Mateo Medical Center.

 

Background

San Mateo County is responsible for providing medical care to its medically indigent adult (MIA) population. This care includes acute inpatient dialysis treatment at San Mateo Medical Center (SMMC). Because of necessary equipment and specialized staffing, it is more economical to contract out for this service.

 

Discussion

In May 2003, San Mateo Medical Center issued a Request for Proposals for the provision of acute inpatient dialysis treatment. A Request for Proposals was mailed to four providers of renal care: Artificial Kidney Services, Fresenius, and Gambro Healthcare Renal Care, Inc., a Nevada Corporation, and Mills-Peninsula. Proposals were received from all vendors except Mills-Peninsula. After a rating process with physicians, nursing and administrative raters, Gambro was selected as the vendor of choice.

Gambro Healthcare has been providing SMMC with high quality renal care since 1999. They maintain compliance with regulatory standards. Gambro Healthcare provides acute dialysis on an all-inclusive basis (equipment, supplies, appropriate personnel and inservice training) upon written order by a member of SMMC's medical staff. Gambro Healthcare has adequate capacity for staffing; information systems in place; evidence of program competency, creativity and initiative; low cost and other key factors required for quality renal care services.

This agreement has been reviewed and approved by Risk Management and County Counsel.

 

Vision Alignment

This agreement keeps the commitment to Ensure Basic Health and Safety for All and goal number 5: Provide residents access to healthcare and preventive care. The Agreement contributes to this commitment and goal by providing renal care services to county patients.

 

Fiscal Impact

The term of this agreement is July 1, 2003 through June 30, 2005. The agreement maximum is $400,000. Gambro has maintained their rates from the previous contract. Funds to pay for these services have been included in San Mateo Medical Center's FY2003-04 approved budget and will be requested in the FY2004-05 budget.

 

Exhibit A

1.

General Description of RFP

Services to provide acute inpatient dialysis services to medically indigent adults at San Mateo Medical Center.

2.

List key evaluation criteria

Capacity for staffing; information systems in place; evidence of program competency, creativity and initiative; low cost

3.

Where advertised

Not Advertised

4.

In addition to any advertisement, list others to whom RFP was sent

N/A

5.

Total number sent to prospective proposers

4

6.

Number of proposals received

3

7.

Who evaluated the proposals

Physician, Nursing and Administrative staff.

8.

In alphabetical order, names of proposers (or finalists, if applicable) and location

Artificial Kidney Services

437 Garden Avenue

San Bruno, CA 94066

Fresenius

255 Challenge Way, Suite 103

Santa Rosa, CA 95407

Gambro Healthcare Renal Care, Inc.

a Nevada Corporation

115 Columbia

Aliso Viejo, CA 92656