Dr. John McNamara has provided ophthalmology services to the San Mateo Medical Center for the last eight years. In particular, these services include the diagnosis and treatment for diseases of the eye, including glaucoma surgery, cataract surgery, and clinics for eye injury, trauma, or refractive corrections. Services are specifically broken out as: refractions (10%), glaucoma surgery (10%), laser surgery (10%) anterior segment corneal surgery (5%), cataract surgery (10%), ocular plastic surgery (10%), medical eye exams (35%), and YAG/membrane surgery (10%).
Patients treated at SMMC have a continuous need for such eye care services and Dr. McNamara offers the hospital the benefits of an experienced provider familiar with the complex nature of the County’s patient base.
In 2004 eye injury, trauma, disease, and surgery services for San Mateo Medical Center were contracted among four ophthalmologists. One of the contractors terminated his contract with the County in January 2005. Another reduced their availability for services in April 2005. Dr. John McNamara and the remaining ophthalmologists increased their availability to cover the service gap.
The original Agreement budget was based on an annual productivity level of 967.27 RBRVS work units with a cushion to cover anticipated increases in surgical cases. Actual productivity levels for Dr. McNamara’s contractual period were 2196.32, 127% above the original amount. The new contract is being funded at the same amount of last year’s original contract and amendment to reflect Dr. McNamara’s assumption of most of the terminated contractor’s workload.
Risk Management and County Counsel have also approved the Agreement. The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.
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