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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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February 14, 2008
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BOARD MEETING DATE:
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April 8, 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 Bay Area Urology Medical Group
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RECOMMENDATION:
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Adopt a resolution:
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A.
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Waiving the Request for Proposal (RFP) Process
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B.
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Authorizing the execution of an Agreement with Bay Area Urology Medical Group to provide urology services to the San Mateo Medical Center (SMMC) for a term of January 1, 2008 to December 31, 2009 for an amount not to exceed $661,280.52
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C.
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Authorizing the Chief Executive Officer (CEO) of SMMC 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.
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Goal(s): Provide residents access to healthcare and preventive care.
The Agreement contributes to this commitment and goal by providing basic urology services to the patients at SMMC.
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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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Number of relative value units (RVU) units in urology procedures
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4014
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4045
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BACKGROUND:
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Bay Area Urology Medical Group has provided urology services to SMMC 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).
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DISCUSSION:
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There remains a shortage of urologist in San Mateo County. The Bay Area Urology Medical Group offers the hospital the benefits of experienced practitioners familiar with the complexity of the County patient base.
A Waiver of the RFP Process is being requested at this time. SMMC conducted an inquiry for possible providers of this service during November and December of 2007 with no success. Bay Area Urology continues to be the only provider willing to and capable of fulfilling the needs of SMMC for urology services
This item was reviewed by the Health System Redesign Initiative team and aligns with the first-year implementation plan approved by the Board of Supervisors on March 25, 2008.
County Counsel and Risk Management have reviewed and approved this Agreement.
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.
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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 $661,280.52. Funds are included in the SMMC’s FY2007-08 Adopted Budget and will be included in the FY2008-09 Recommended Budget.
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