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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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San Mateo Medical Center
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DATE:
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June 13, 2005
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BOARD MEETING DATE:
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June 28, 2005
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Nancy J. Steiger, Chief Executive Officer
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SUBJECT:
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Agreement with David Jegge, MD
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RECOMMENDATION:
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Adopt a resolution authorizing the President of the Board to execute an Agreement with David Jegge, MD to provide general, thoracic, and vascular surgery services for the period July 1, 2005 through June 30, 2007.
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VISION ALIGNMENT:
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Commitment: To Ensure Basic Health and Safety for All.
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Goal(s): Provide residents access to healthcare and preventive care.
The Agreement contributes to this commitment and goal by providing basic general, thoracic, and vascular surgery services.
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Performance Measure(s):
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Measure
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FY 2004-05
Actual
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FY 2005-06
Projected
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Number of relative value units (RVU) units in General, Vascular, and Thoracic procedures
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75,671
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94,983
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BACKGROUND/DISCUSSION:
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UCSF has provided general, thoracic, and vascular surgery and clinic services to the San Mateo Medical Center for the last three years. In particular these disciplines serve as the basis for surgical services for the abdominal organs, conditions of the chest, and general vascular access. SMMC has a continuous need for general, thoracic, and vascular services and Dr. David Jegge offers the hospital the benefits of an experienced practitioner familiar with the complex nature of the County patient base.
Contractor productivity is being measured by the current Medicare Resource-Based Relative Value Scale (RBRVS) Relative Value Work Units (RVUs), an industry-wide measurement of medical care that indicates the level of quality standards being met by an individual practitioner.
This Agreement includes an increased number of surgeries and clinics work and represent an overall increase of 8% over the previous contract. Current HIPAA language has also been incorporated. Risk Management and County Counsel have approved the Agreement.
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TERM AND FISCAL IMPACT:
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The term of the Agreement is July 1, 2005 through June 30, 2007. The maximum amount the County shall be obligated to pay Contractor is $2,299,044, which represents an increase of 8%. Funds are included in the San Mateo Medical Center’s FY2005-06 Recommended Budget.
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