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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 5, 2006
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BOARD MEETING DATE:
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May 2, 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 Bay Area Urology Group
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RECOMMENDATION:
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Adopt a resolution authorizing the President of the Board to execute an Agreement with Bay Area Urology Group to provide urology services for the period March 1, 2006 through August 31, 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 urology 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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1. Number of relative value units (RVU) units in urology procedures
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3781
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4045
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2. Internal Customer Satisfaction: Percentage of physician surveys of internal medicine and urology services assessing communication, timeliness, and overall quality rated at levels 4 or 5 on a 5 point scale.
3. 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.
4. Reduce the risk of healthcare-associated infections and adhere to infection control standards as defined by Joint Commission, Title 22, and other applicable standards.
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>80%
>80%
100%
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>80%
>80%
100%
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BACKGROUND/DISCUSSION:
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Bay Area Urology Group has provided urology services to the San Mateo Medical Center for the last several years. In particular this discipline serves as a basis for the diagnosis and treatment of diseases of the male and female urinary tract, including correction of bladder obstructions, as well as of the male reproductive organs, including testing for prostate cancer. This specialty also addresses identification and dissolution of kidney stones (lithotripsy) and chronic systemic disorders which have common related problems of the urethra, including End Stage Renal Disease (ESRD). The Bay Area Urology Group offers the hospital the benefits of experienced practitioners familiar with the complexity 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 a 5% increase in work at the same level of the previous contract.
This agreement includes all provisions that are required by county ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination, equal benefits and jury service policy. 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 March 1, 2006 through August 31, 2007. The maximum amount the County shall be obligated to pay Contractor is $474,398.68. Funds are included in the San Mateo Medical Center’s FY2005-06 Adopted Budget.
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