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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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April 27, 2005
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BOARD MEETING DATE:
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May 17, 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 California Advanced Imaging Medical Associates
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Recommendation
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Adopt a resolution authorizing the President of the Board to execute an Agreement with California Advanced Imaging Medical Associates to provide management, supervision, and physician services in radiology for the period April 1, 2004 through March 30, 2007.
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Vision Alignment
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Commitment: To Ensure Basic Health and Safety for All.
Goal 5: Provide residents access to preventive care.
The Agreement contributes to this commitment and goal by providing diagnostic imaging and interventional screening procedures to county patients, including X rays, mammograms, CAT scans, and MRIs.
Performance Measure:
Measure
FY2004-05
FY2005-06
Number of relative value units (RVU) units in diagnostic imaging and preventive screening procedures
33,000 RVU units
38,000 RVU units
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Background/Discussion
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California Advanced Imaging Medical Associates (CAIMA) has provided management, supervision, and physician services for radiology to the San Mateo Medical Center for the last six years. SMMC has a continuous need for radiology coverage and this group offers the hospital the benefits of a large practice with radiology specialization and administrative support. CAIMA is one of the few contract radiology services on the Peninsula, and provides service to all the hospitals on the Peninsula who do not have an existing in-house radiology staff.
In May 2004, San Mateo Medical Center established an onsite Magnetic Resonance and Imaging (MRI) service to reduce outsourced costs. CAIMA provided the technical and professional component of this service and charged separately for them as a new requirement outside of the base contract. At the request of San Mateo, CAIMA agreed to renegotiate and extend the existing contract to include the MRI services under the base amount, and adopt a new Relative Value Unit (RVU) based reimbursement method. This approach reduced the overall flat payment amount and allows San Mateo to monitor productivity based on nationally accepted standards.
This Agreement supercedes Resolution 65162 signed in 2002 and incorporates current HIPAA language. 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 April 1, 2004 through March 30, 2007. The maximum amount the County shall be obligated to pay Contractor is $5,456,815. Funds are included in the San Mateo Medical Center’s FY2004-05 Adopted Budget and the FY205-06 Recommended budget.
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