COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

September 14, 2007

BOARD MEETING DATE:

September 25, 2007

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director of Health

Gale Bataille, Interim Director, Behavioral Health & Recovery Services

SUBJECT:

Agreement with Tamar Meidav, M.D.

RECOMMENDATION:

Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with Tamar Meidav, M.D. for psychiatric services for the term July 1, 2007 through June 30, 2009, for a maximum obligation of $278,656; and

2) Authorizing the Director of Health or the Director'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: Ensure basic health and safety for all.

Goal 8: Help vulnerable people  the aged, disabled, mentally ill, at risk youth and others  achieve a better quality of life.

The Agreement contributes to this commitment and goal by providing psychiatric services for youth at various mental health sites.

Performance Measure:

Measure

FY 2006-07 Actual

FY 2007-08 Projected

Percentage of clients satisfied with services received.

100%*

90%

*The performance for FY 2006-07 exceeds the target of 90%, which is unchanged for FY 2007-08.

BACKGROUND:

There has been a shortage of adult and child psychiatrists in California and in the nation for the past several years. Mental Health Services has found it extremely difficult to fill adult and child psychiatrist positions. Under Administrative Memorandum B-1, agreements with physicians are exempt from the requirement for a Request for Proposals process. Mental Health Services runs advertisements for specialty psychiatric services on a regular basis in the Northern California Psychiatric Newsletter and other venues as needed. Dr. Meidav was selected from candidates who responded to those advertisements in 2003 and has contracted with Mental Health Services since that time.

DISCUSSION:

Dr. Meidav will provide psychiatric services for children and youth at various mental health clinics for a two-year term. The services shall include child and youth medication evaluation and treatment, psychotherapy and family consultation, residency training, case consultation to staff, and other related duties as assigned.

The Agreement has been reviewed and approved by County Counsel and Risk Management. 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. The Agreement with Dr. Meidav is on the Continuing Resolution.

FISCAL IMPACT:

Contracted psychiatrists are usually offered a rate increase that matches the negotiated COLA’s provided to physicians at the San Mateo Medical Center (SMMC). This Agreement was put in place prior to the completion of negotiations between the Union of Physicians and Dentists and SMMC this year. For this Agreement a 3% rate increase has been included for both FY 2007-08 and FY 2008-09.

The term of the Agreement is July 1, 2007 through June 30, 2009. The Agreement maximum is $278,656 for the two-year term. For FY 2007-08 the budgeted maximum is $141,387, which has been included in the Mental Health Services tentatively Adopted FY 2007-08 Budget. Of that amount, State and Federal Medi-Cal revenue will fund $100,385, the Human Services Agency will fund $12,725, Healthy Families and Healthy Kids will fund $1,414, and sales tax through realignment will fund $26,863. There is no Net County Cost. Similar arrangements will be made for FY 2008-09.