COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

DATE:

April 11, 2005

BOARD MEETING DATE:

April 26, 2005

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

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

SUBJECT:

Agreement with Per Diem Staffing Systems, Inc.

Recommendation

Adopt a Resolution:

A)

Waiving the Request for Proposal (RFP) Process

B)

Authorizing the execution of an Agreement with Per Diem Staffing Systems, Inc. to provide San Mateo Medical Center (SMMC) with temporary respiratory staffing for the term of April 1, 2005 to March 31, 2006, in an amount not to exceed $130,000

C)

Authorizing the Chief Executive Officer of San Mateo Medical Center to execute amendments not to exceed $25,000

Vision Alignment

Commitment: Ensure Basic Health and Safety for All.

Goal 5: Provide residents access to healthcare and preventive care.

This agreement contributes to this commitment and goal by continuing to provide respiratory care staffing at San Mateo Medical Center.

Performance Measures:

Measure

FY2004-05

FY2005-06

Percent of respiratory care registry use required

15%

15%

Background

In the past, San Mateo Medical Center has had stable regular benefited staff in the Respiratory Department. In the last year, however, SMMC has been unable to recruit new staff compelling the increased use of traveler staff in order to maintain minimum staffing levels.

Discussion

Since May, 2004, SMMC has experienced one more staff resignation. In addition to requiring increased use of supplemental traveler staff to provide adequate minimal staffing for the Respiratory Department, overtime for regular staff has been utilized to fill the gaps in department schedules.

Efforts to recruit new staff are currently in progress. It is necessary to continue to utilize traveler staff until new staff are hired. In order to maintain adequate minimal staffing for the department, it is necessary to have a contract with Per Diem Staffing Systems.

SMMC is requesting that the RFP process be waived. Per Diem is the only traveler registry willing to provide part-time temporary respiratory services. Other registries will only provide full-time temporary services.

County Counsel and Risk Management have both reviewed and approved this amendment.

Fiscal Impact

The term of the agreement is April 1, 2005 to March 31, 2006. The maximum amount of the agreement is $130,000. Funds are included in SMMC’s FY2004-05 Adopted Budget. Funds will be included in SMMC’s Recommended Budget for FY2005-06.