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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 Howard Belfer, MD
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RECOMMENDATION:
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Adopt a resolution authorizing the President of the Board to execute an Agreement with Howard Belfer, MD to provide neurology services for the period April 1, 2005 through March 31, 2008.
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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 neurology services, including EEG and EMG reads.
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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 neurology procedures, including EEG and EMG reads
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1716.57
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1931.14
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BACKGROUND/DISCUSSION:
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Dr. Howard Belfer has provided neurology clinic services to the San Mateo Medical Center for the last three years. Neurology service is a non-surgical specialty area that addresses many of the root causes for neurological disorders, nerve damage, and pain. In particular, the discipline serves as a basis of differential diagnoses for most core medical specialty areas: uneven balance and gait as it relates to brain tumors; apnea and sleep disorders as they pertain to ENT; the impact of seizures captured through EEG and EMG readings; back problems related to spinal nerve damage, and brain disorders, including chemical imbalances and mental status. SMMC has a continuous need for neurology services and Dr. Belfer 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. The increase in level of productivity reflects the increased number of surgical cases Dr. Belfer will be able to perform due to SMMC opening a third operating room.
This Agreement 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, 2005 through March 31, 2008. The maximum amount the County shall be obligated to pay Contractor is $300,477.67, which represents a flat reimbursement in comparison to the previous contract maximum amount of $301,500. Funds are included in the San Mateo Medical Center’s FY2004-05 Adopted Budget and FY2005-06 Recommended Budget.
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