COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

DATE:

August 6, 2008

BOARD MEETING DATE:

September 30, 2008

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Sang-ick Chang, M.D., Chief Executive Officer
San Mateo Medical Center

SUBJECT:

Agreement with Total Renal Care, Inc.

RECOMMENDATION:

Adopt a resolution:

A)

Authorizing the President of the Board to execute an Agreement with Total Renal Care, Inc. to provide acute dialysis services for patients at San Mateo Medical Center for a term of September 1, 2008 through August 31, 2011 in an amount not to exceed $1,500,000

B)

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

VISION ALIGNMENT:

Commitment: Ensure Basic Health and Safety for All.

Goal 5: Residents have access to healthcare and preventive care.

This Agreement contributes to this commitment and goal by providing renal care services to county patients.

Performance Measure(s):

Measure

FY2008-09
Projected

FY2009-10
Projected

FY2010-11
Projected

Average number of procedures per fiscal year

1,000

1,000

1,000

BACKGROUND:

SMMC uses an outside provider for acute dialysis services for in-patients. This is not a service that is provided by SMMC’s in-house medical staff. Total Renal Care, Inc. (formerly DVA , DaVita, and Gambro) has been providing the acute dialysis services for patients of SMMC since 2003.

DISCUSSION:

A Request for Proposal (RFP) for dialysis services was sent to 12 agencies in May 2008. Of the 10 responses received, only Total Renal Care could meet SMMC’s service needs.

Total Renal Care uses an Acute Service Coordinator to provide staff scheduling of its own staff upon direct request from the patient’s physician. The staff works in collaboration with the assigned primary nurse at SMMC to provide and be responsible for set up and operation of the dialysis equipment, patient care during the dialysis procedure, and reporting to SMMC nurse and nephrologists.

Health System Redesign Initiative Team, 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.

FISCAL IMPACT:

The term of the Agreement is September 1, 2008 through August 31, 2011. The maximum amount expendable under the Agreement is $1,500,000. Funds to pay for these services are included in SMMC’s FY2008-09 Recommended Budget and will be included in future fiscal year budget requests.

1.

General Description of RFP

Request for Proposals for acute care dialysis and continuous ambulatory peritoneal dialysis

2.

List key evaluation criteria

Staff Qualifications
Competency Monitoring
Quality Control
Regulatory Compliance

Equipment Inventory
Cost
County Requirements
Experience

3.

Where advertised

The RFP was advertised in the

4.

In addition to any advertisement, list others to whom RFP was sent

AMN Healthcare
Arcadia Health Services
HealthOne Staffing
Health Talent, Inc.

Lead Staffing Corporation
Medical Staffing Network

Medstaff, Inc.
SHC Services
Total Renal Care
TruStaff
UNI
Virtual Healthcare

5.

Total number sent to prospective proposers

12

6.

Number of proposals received

10

7.

Who evaluated the proposals

Director of Nursing
Two Staff Physicians - Nephrologists
Two Nurse Managers

8.

In alphabetical order, names of proposers (or finalists, if applicable) and location

AMN Healthcare
12400 High Bluff Drive
San Diego, CA 92130

Arcadia Health Services
26777 Central Park Blvd
Suite 200
Southfield, MI 48076

HealthOne Staffing
800 Airport Blvd.,
Suite 410
Burlingame, CA 94010

Lead Staffing Corporation
2694 E. Garzey Ave., S
#397

Medical Staffing Network
601 University Ave.
Suite 175
Sacramento, CA 95825

SHC Services
333 Gellert Blvd., Ste 142
Daly City, CA 94015

Total Renal Care, Inc.
15253 Bake Parkway
Irvine, CA 92618

TruStaff
4270 Glendale-Milford
Cincinnati, OH 45242

UNI
44 Montgomery St., #740
San Francisco, CA 94104

Virtual Healthcare
350 Sansome St., #240
San Francisco, CA 94104