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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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September 24, 2008
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BOARD MEETING DATE:
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October 28, 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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Amendment to the Agreement with Barry McNamara, M.D.
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RECOMMENDATION:
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Adopt a resolution authorizing the President of the Board to execute an Amendment to the Agreement with Barry McNamara, M.D. to provide ophthalmology services for the period September 1, 2006 through August 31, 2008, increasing the maximum amount payable thereunder by $5,000, from $127,236.30 to $132,236.30.
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VISION ALIGNMENT:
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Commitment: To Ensure Basic Health and Safety for All.
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Goal 5: Provide residents access to healthcare and preventive care.
The Amendment to the Agreement contributes to this commitment and goal by providing comprehensive ophthalmology services.
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Performance Measure(s):
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Measure
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FY 2006-07
Projected
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FY 2007-08
Actual
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Increase overall relative value units (RVU) productivity for ophthalmology services
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1284.41
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1392
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Reduce vision loss in diabetics through increased preemptive and preventative HVF, IVF, and GDX diagnostic testing
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>25%
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>25%
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Increase eye care health compliance for patients identified as at high risk for vision loss, especially those with ESRD, diabetes, glaucoma, and hypertension
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>50%
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>50%
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Achieve organizational citizenship rating scores from Administration, Clinic staff, and peers on all citizenship rating criteria
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>80%
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>80%
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Reduce the risk of healthcare-associated infections and adhere to infection control standards as defined by Joint Commission, Title 22, and other applicable standards.
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100%
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100%
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BACKGROUND/DISCUSSION:
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Dr. Barry McNamara has provided ophthalmology services to San Mateo Medical Center (SMMC) for more than 15 years. In particular, these services include the diagnosis and treatment for diseases of the eye, including glaucoma surgery, cataract surgery, and clinics for eye injury, trauma, or refractive corrections. Patients treated at SMMC have a continuous need for such eye care services, and Dr. McNamara offers the hospital the benefits of an experienced provider familiar with the complex nature of the County’s patient base
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The original Agreement budget was based on an annual RVU productivity level of 967.27 RBRVS work units with a cushion to cover anticipated increases in surgical cases. Actual RVU productivity levels for Dr. McNamara’s FY2007-08 were 1392, 44% above the original budgeted amount. The Amendment for $5,000 in additional funding is based on this increased productivity and will allow for payment of invoices recently received for services rendered during the contract period
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The original Agreement budget was based on an annual RVU productivity level of 967.27 RBRVS work units with a cushion to cover anticipated increases in surgical cases. Actual RVU productivity levels for Dr. McNamara’s FY2007-08 were 1392, 44% above the original budgeted amount. The Amendment for $5,000 in additional funding is based on this increased productivity and will allow for payment of invoices recently received for services rendered during the contract period
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The original Agreement budget was based on an annual RVU productivity level of 967.27 RBRVS work units with a cushion to cover anticipated increases in surgical cases. Actual RVU productivity levels for Dr. McNamara’s FY2007-08 were 1392, 44% above the original budgeted amount. The Amendment for $5,000 in additional funding is based on this increased productivity and will allow for payment of invoices recently received for services rendered during the contract period
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The original Agreement budget was based on an annual RVU productivity level of 967.27 RBRVS work units with a cushion to cover anticipated increases in surgical cases. Actual RVU productivity levels for Dr. McNamara’s FY2007-08 were 1392, 44% above the original budgeted amount. The Amendment for $5,000 in additional funding is based on this increased productivity and will allow for payment of invoices recently received for services rendered during the contract period.
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Risk Management and County Counsel have also approved the Amendment to the 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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FISCAL IMPACT:
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The term of the agreement is September 1, 2006 through August 31, 2008. This Amendment increases the maximum amount payable thereunder by $5,000, from $127,236.30 to $132,236.30, which is a yearly cost of $66,118.15. Funds are included in SMMC's FY2008-09 Adopted Budget.
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