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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health System
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DATE:
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February 24, 2009
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BOARD MEETING DATE:
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March 31, 2009
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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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Jean S. Fraser, Chief, Health System
Sang-ick Chang, MD, Chief Executive Officer,
San Mateo Medical Center
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SUBJECT:
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Agreement with IV Assist, Inc.
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RECOMMENDATION:
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Adopt a Resolution:
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1)
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Waiving the Request for Proposals process; and
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2)
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Authorizing the President of the Board to execute an Agreement with IV Assist, Inc. to provide professional specialty peripherally inserted central catheter line services from May 1, 2009 through April 30, 2012, in an amount not to exceed $525,000; and
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3)
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Authorizing the Chief of the Health System or his/her 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: Provide residents access to healthcare and preventive care.
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The Agreement contributes to this commitment and goal by continuing to provide highly specialized medical services to patients for which the County is responsible.
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Performance Measure:
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Measure
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FY 2007-08
Actual
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FY 2008-09
Projected
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Percent of successful placement of attempted PICC lines
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100%
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100%
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BACKGROUND:
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San Mateo County is responsible for providing access to professional medical care for its indigent residents. San Mateo Medical Center (SMMC), as a general acute care hospital, does not provide certain highly specialized services such as peripherally inserted central catheter (PICC) line services. A contract with IV Assist ensures that PICC specialty services are readily available at SMMC on an on-call basis as needed by the County. IV Assist has provided services to the County since May 2005.
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DISCUSSION:
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PICC line services have become a best practice and are used in lieu of other IV lines to reduce the occurrence of infection in longer term IV treatments (i.e., chemotherapy, nutritional support, and some antibiotic applications). This service is critical for starting PICC lines in patients when medically indicated. These lines are used for medications and other treatment therapies that are critical to maintain such patients. This procedure has been increasingly used for patients in long-term care, for cancer patients and for some emergency room patients. All patients referred to IV Assist will undergo utilization review to minimize hospital stays and maintain control over costs.
The County Manager has approved a waiver of the Request for Proposals process because IV Assist, Inc. is the only vendor in the Bay Area providing straight PICC line services. All other vendors require a significant business line volume for home health care services in addition to PICC lines, a requirement which SMMC cannot provide.
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.
The County Counsel and Risk Management have reviewed and approved this Agreement.
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FISCAL IMPACT:
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The term of this Agreement is May 1, 2009 through April 30, 2012, for a maximum obligation of $525,000. The maximum amount of the previous Agreement was $175,000 for one year. Funds for May 1, 2009 to June 30, 2009 are $29,167 and are included in the SMMC FY 08-09 Adopted Budget. Funds for subsequent years will be included in future recommended budgets. Net County Cost will be $525,000.
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