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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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May 14, 2007
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BOARD MEETING DATE:
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June 19, 2007
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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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Sang-ick Chang, Interim Chief Executive Officer, San Mateo Medical Center
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SUBJECT:
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Agreement with California Advanced Imaging Medical Associates, Inc.
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Recommendation
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Adopt a Resolution:
1. Authorizing the President of the Board to execute an Agreement with California Advanced Imaging Medical Associates (CAIMA), Inc. to provide professional radiology and other diagnostic imaging Services from April 1, 2007 through December 31, 2007, in an amount not to exceed $1,414,645.
2. Authorizing the San Mateo Medical Center (SMMC) Chief Executive Officer (CEO) or the CEO's designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000 (in aggregate), and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.
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Vision Alignment
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Commitment: To Ensure Basic Health and Safety for All.
Goal 5: Residents have access to healthcare and preventive care.
The Agreement contributes to this commitment and goal by providing twenty-four hour radiology and other diagnostic services at SMMC.
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Background/Discussion
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California Advanced Imaging Medical Associates (CAIMA) has provided management, supervision, and physician services for radiology to the San Mateo Medical Center for almost ten years. SMMC has a continuous need for radiology and other diagnostic imaging services. This group offers the hospital the benefits of a large practice with imaging specialization and administrative support. CAIMA is one of the few contract radiology services on the Peninsula, and provides service to all the hospitals on the Peninsula who do not have an existing in-house radiology staff.
In May 2004, San Mateo Medical Center established an onsite Magnetic Resonance and Imaging (MRI) service to reduce outsourced costs. CAIMA provided the technical and professional component of this service. Because of the unprecedented growth of imaging use and at the request of San Mateo, CAIMA agreed to renegotiate the existing contract to a flat payment amount with shared risk Relative Value Unit (RVU) component and allows San Mateo to monitor productivity based on nationally accepted standards and structured utilization review. Over the next few months, we will review utilization progress and RVU valuations to determine the terms of the future contract.
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, 2007 through December 31, 2007. The maximum amount the County shall be obligated to pay Contractor is $1,414,645. This agreement represents no increase compared to the prior Agreement’s expense except for a shared risk payment of growth of over 5% in the nine month term of the contract.
Funds are included in the San Mateo Medical Center’s FY2006-07 Adopted Budget and are included in the FY2007-08 Recommended Budget.
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