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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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December 16, 2005
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BOARD MEETING DATE:
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January 10, 2006
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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 Fred Lui, MD
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RECOMMENDATION:
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Adopt a resolution authorizing the President of the Board to execute an Agreement with Fred Lui, MD to provide nephrology services for the period October 1, 2005 through September 30, 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 nephrology services. Contractor performance is measured by adherence to a quality plan for nephrology with specific benchmarking indicators based on:
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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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1. Hemodialysis Effectiveness: Percentage of patients with Kt/V greater than 1.2.
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N/A
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>90%
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2. Medical Management: Percentage of patients receiving dialysis with indicators of:
-hemoglobin level (>11 mg/dl)
-albumin (> 3.5 g/dl)
-bioi-iPTH (50-150 pgm/ml, 8.25-16 pmol/L)
3. Internal Customer Satisfaction: Percentage of physician surveys of nephrology services assessing communication, timeliness, and overall quality rated at levels 4 or 5 on a 5 point scale.
4. External Customer Satisfaction: Percentage of patient satisfaction with clinic services survey assessing communication, respect and overall quality rated at levels 4 or 5 on a 5 point scale.
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78%
90%
34%
70%
70%
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>80%
>90%
>35%
>80%
>80%
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BACKGROUND/DISCUSSION:
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Dr. Fred Lui has provided nephrology services to the San Mateo Medical Center for the last several years. This discipline serves as the basis for the evaluation and treatment of kidney functions and its diseases, including diabetes, hypertensive kidney disorders, chronic kidney failure and its complications, and end stage renal disease (ESRD). SMMC has a continuous need for nephrology services and Dr. Lui will offer the hospital the continued benefit of an experienced practitioner familiar with the complex nature of the County patient base.
Nephrology services are provided under the general direction of the Chief of Surgery of the San Mateo Medical Center. Monitoring and evaluation of the quality of services provided by contractor are accomplished through peer review by the Quality Improvement Committee and the Medical Executive Committee of the medical staff.
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 October 1, 2005 through September 30, 2008. The maximum amount the County shall be obligated to pay Contractor is $360,000. Funds are included in the San Mateo Medical Center’s FY2005-06 Adopted Budget.
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