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COUNTY OF SAN MATEO
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Inter-Departmental Correspondence
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Health System
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DATE:
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May 13, 2009
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BOARD MEETING DATE:
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June 9, 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
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Louise Rogers, Director, Behavioral Health and Recovery Services
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SUBJECT:
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Agreement with Lisa J. Nelson, M.D.
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RECOMMENDATION:
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Adopt a Resolution:
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1) Authorizing the President of the Board to execute an Agreement with Lisa J. Nelson, M.D. for psychiatry services for the term July 1, 2009 through June 30, 2011, for a maximum obligation of $234,260; and
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2) Authorizing the Chief of the Health System or 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: Ensure basic health and safety for all.
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Goal 8: Help vulnerable peoplethe aged, disabled, mentally ill, at-risk youth and othersachieve a better quality of life.
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The Agreement contributes to this commitment and goal by providing psychiatry services for youth at various mental health sites.
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Performance Measure:
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Measure
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FY 2008-09
Estimate
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FY 2009-10
Target
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Percent of clients satisfied with services received*
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77%
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90%
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* These data are for all psychiatrists providing psychiatry services.
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BACKGROUND:
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There has been a shortage of adult and child psychiatrists in California and in the nation for the past several years. Behavioral Health and Recovery Services (BHRS) has found it extremely difficult to fill adult and child psychiatrist positions. Under Administrative Memorandum B-1, agreements with physicians are exempt from the requirement for a Request for Proposals process. BHRS runs advertisements for specialty psychiatric services on a regular basis in the Northern California Psychiatric Newsletter and other venues as needed. Dr. Nelson was selected from candidates who responded to those advertisements in 1998 and has contracted with BHRS since that time.
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DISCUSSION:
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Dr. Nelson will provide psychiatry services for children and youth in San Mateo County. The services shall include child and youth medication evaluation and treatment, diagnostic evaluation, psychotherapy, family consultation, treatment plan review, and case consultation.
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The Agreement has been reviewed and approved by County Counsel and Risk Management. 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 July 1, 2009 through June 30, 2011. The Agreement maximum is $234,260 for the two-year term. For FY 2009-10 the budgeted maximum is $115,397, which has been included in the BHRS FY 2009-10 Recommended Budget. Of that amount, Medi-Cal revenue is expected to fund $50,775, SB 90 will fund $48,467 and sales tax through realignment will fund $16,155. There is no Net County Cost. Similar arrangements will be made for FY 2010-11.
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