COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

 

DATE:

August 22, 2007

BOARD MEETING DATE:

September 11, 2007

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

FROM:

Sang-ick Chang, Interim Chief Executive Officer, San Mateo Medical Center

SUBJECT:

Amendment to the Agreement with Bay Area Urology Medical Group, Inc.

 
 

RECOMMENDATION:

Adopt a Resolution:

1. Authorizing the President of the Board to execute an Amendment to the Agreement with Bay Area Urology Medical Group, Inc. to provide urology services to extend the term from March 1, 2006 through August 31, 2007 to March 1, 2006 through December 31, 2007 and to increase the Agreement maximum from $474,398.68 to an amount not to exceed $557,626.52.

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.

 

VISION ALIGNMENT:

Commitment: To Ensure Basic Health and Safety for All.

Goal 5: Provide residents access to healthcare and preventive care. The Agreement Amendment contributes to this commitment and goal by providing basic urology services.

 

Performance Measures:

Measure

FY 2006-07
Actual

FY 2007-08
Projected

1. Number of relative value units (RVU) units in urology procedures

4014

4045

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.

>80%

>80%

100%

>80%

>80%

100%

 

BACKGROUND:

Bay Area Urology Medical Group, Inc. (Contractor) has provided urology services to the San Mateo Medical Center from March 1, 2006 through August 31, 2007. 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 Contractor offers the hospital the benefits of experienced practitioners familiar with the complexity of the County patient base.

 

DISCUSSION:

Contractor productivity is being measured by the current 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. A review of the Contactor’s productivity confirms the projected growth of 5% was achieved and exceeded by 1%.

SMMC is requesting that the Agreement be extended for the period of four months to December 31, 2007 so that SMMC and the Contractor will have the opportunity to review productivity and develop a new contract that will best serve the County.

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.

 

TERM AND FISCAL IMPACT:

The term of the Amended Agreement is March 1, 2006 through December 31, 2007. The maximum amount the County shall pay the Contractor is $557,626.52. Funds are included in the San Mateo Medical Center’s FY2006-07 Adopted Budget and FY2007-08 Tentatively Adopted Budget.