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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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July 17, 2006
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BOARD MEETING DATE:
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August 1, 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 Steiger, Chief Executive Officer, San Mateo Medical Center
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SUBJECT:
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Agreement with Barry Rosen, MD
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Recommendation
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Adopt a resolution authorizing the President of the Board to execute an agreement with Barry Rosen, MD to provide pain management services for the term August 1, 2006 through July 31, 2007, in an amount not to exceed $240,000.
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Vision Alignment
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Commitment: To Ensure Basic Health and Safety for All.
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Goal 5: Provide residents access to healthcare and preventive care.
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The agreement contributes to the commitment and goal by providing a comprehensive approach to pain management services to county patients, specifically in the area of interventional medication management care.
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Performance Measure:
Measure
FY2006-07
Achieve organizational citizenship rating scores from Administration, Clinic staff, and Peers on all citizenship rating criteria
>80%
Assessment from peers and clinic staff of program effectiveness in reducing hospitalization, ED visits, and patient compliance
>80%
Assessment from patients of improved quality of life and functionality
>80%
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Background / Discussion
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Pain management services are provided under the general direction of the Medical Director of San Mateo Medical Center. Such care includes the assessment and treatment of chronic pain syndrome. Comprehensive pain management is a new service being offered at the San Mateo Medical Center.
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The establishment of a pain management service is a cost containment approach for the assessment and treatment of patients with chronic pain syndrome and concurrent substance abuse issues, including back pain, headaches, cancer, and rheumatologic pain. A multidisciplinary team shall provide specific medical and behavioral health services while measuring outcome-based results analyzing frequency of emergency department visits, hospitalization, and improved patient quality of life and functionality.
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The 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.
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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 from August 1, 2006 through July 31, 2007. The maximum amount County shall be obligated to reimburse Contractors under this agreement is $240,000. Funds are included in the San Mateo Medical Center's FY2006-07 tentatively adopted budget.
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