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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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July 8, 2008
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BOARD MEETING DATE:
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August 12, 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, M.D., Chief Executive Officer
San Mateo Medical Center
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SUBJECT:
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Agreement with Michael Siegel, MD
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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 Michael Siegel, MD, to provide neurology services for the term April 1, 2008 through March 31, 2011, in an amount not to exceed $375,000
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B.
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Authorizing the Chief Executive Officer (CEO) of San Mateo Medical Center 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
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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 neurology services.
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Performance Measure(s):
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Measure
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FY2007-08
Actual
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FY2008-09
Projected
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Number of relative value units (RVUs) for neurology procedures, including EEG and EMG test interpretation
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3020.44
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3100
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BACKGROUND:
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Neurology service is a non-surgical specialty area that addresses many of the root causes for neurological disorders, nerve damage, and pain. In particular, the discipline serves as a basis of differential diagnoses for most core medical specialty areas: uneven balance and gait as it relates to brain tumors; apnea and sleep disorders; the impact of seizures captured through EEG and EMG readings; back problems related to spinal nerve damage, and brain disorders, including chemical imbalances and mental status. SMMC has a continuous need for neurology services and Dr. Siegel offers the hospital the benefits of an experienced practitioner familiar with the complex nature of the County patient base.
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DISCUSSION:
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Contractor is providing clinic services, test interpretation and call coverage for Neurology. The productivity is being measured by the current Medicare Resource-Based Relative Value Scale (RBRVS) Relative Value Units (RVUs), an industry-wide measurement of medical care that indicates the level of productivity being met by an individual practitioner. Dr. Siegel works with another neurologist, Dr. Belfer, to provide 24/7 call coverage for the Neurology patients of SMMC.
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.
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.
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TERM AND FISCAL IMPACT:
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The term of the Agreement is April 1, 2008 through March 31, 2011. The maximum amount of the Agreement is $375,000. Funds are included in the San Mateo Medical Center’s FY2007-08 Adopted Budget and FY2008-09 Recommended Budget.
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