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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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January 2, 2008
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BOARD MEETING DATE:
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January 29, 2008
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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, MD, 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:
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A.
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Authorizing the execution of an Agreement with California Advanced Imaging Medical Associates (CAIMA), Inc. to provide professional Radiology and other diagnostic imaging services for the term January 1, 2008 through December 31, 2009 for a maximum amount payable not to exceed $3,900,000.
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B.
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Authorizing the Chief Executive Officer (CEO) or his 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 San Mateo Medical Center.
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Performance Measure(s):
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Measure
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FY 2006-07
Actual
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FY 2007-08
Projected
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FY 2008-09
Projected
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All imaging studies at SMMC will be reviewed by a Board Certified/Eligible Radiologist within 24 hours of the time submitted for review
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100%
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100%
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100%
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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 (SMMC) for more than 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, SMMC established an onsite Magnetic Resonance and Imaging (MRI) service to reduce outsourced costs. CAIMA provided the professional component of this service. Because of the unprecedented growth of imaging use and at the request of the SMMC, CAIMA agreed to renegotiate the existing contract to a flat payment amount with shared risk Relative Value Unit (RVU) component and allows SMMC to monitor productivity based on nationally accepted standards and structured utilization review.
For the purpose of this Agreement, 2004 RVU’s were converted to the 2007 RVU Schedule Imaging utilization and RVU valuations were measured over several months to determine the baseline term of this new contract.
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 January 1, 2008 through December 31, 2009. The maximum amount the County shall be obligated to pay Contractor is $3,900,000.
Funds are included in the San Mateo Medical Center’s FY2007-08 Adopted Budget and will be included in the FY2008-09 Recommended Budget.
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