COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

 

DATE:

November 30, 2007

BOARD MEETING DATE:

December 18, 2007

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

FROM:

Sang-ick Chang, MD, Chief Executive Officer

San Mateo Medical Center

SUBJECT:

Amendment to the Agreement with Bay Area Urology Group

 

RECOMMENDATION:

Adopt a resolution authorizing the President of the Board to execute an Amendment to an Agreement with Bay Area Urology Group to provide urology services to the San Mateo Medical Center to increase the Agreement maximum by $22,194.12, from $557,626.52 to an amount not to exceed $579,820.64

 

VISION ALIGNMENT:

Commitment: To Ensure Basic Health and Safety for All.

Goal(s): Provide residents access to healthcare and preventive care.

The Agreement contributes to this commitment and goal by providing basic urology services.

 

Performance Measure(s):

Measure

FY 2006-07
Actual

FY 2007-08
Projected

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

4014

4045

 

BACKGROUND/DISCUSSION:

Bay Area Urology Group has provided urology services to the San Mateo Medical Center for the last several years. 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 Bay Area Urology Group offers the hospital the benefits of experienced practitioners familiar with the complexity of the County patient base.

On May 2, 2006, the Board approved Resolution No. 67961 authorizing an Agreement with Bay Area Urology Group with a maximum amount of $474,398.60 for the term March 1, 2006 to August 31, 2007. The Agreement was amended by Resolution No. 69001, on September 11, 2007, to increase the maximum amount to $557,626.52 and to extend the term of the Agreement to December 31, 2007.

The rates in Schedule B for the Amendment approved on August 23, 2007 were incorrectly calculated. This has caused a shortfall in the maximum amount. An Amendment is now necessary to cover payments through December 31, 2007.

County Counsel and Risk Management have reviewed and approved this Amendment.

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 Agreement is March 1, 2006 through December 31, 2007. The maximum amount the County shall be obligated to pay Contractor is $579,820.64. Funds are included in the San Mateo Medical Center’s FY2006-07 Adopted Budget and in the FY2007-08 Recommended Budget.