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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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February 19, 2010
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BOARD MEETING DATE:
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March 23, 2010
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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
Susan Ehrlich, MD, MPP, Chief Executive Officer
San Mateo Medical Center
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SUBJECT:
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Second Amendment to the Agreement with California Emergency Physicians Medical Group
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RECOMMENDATION:
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Adopt a Resolution authorizing the President of the Board to execute a second Amendment to the Agreement with California Emergency Physicians Medical Group to provide Emergency Department services increasing the amount by $164,250 to a maximum obligation of $7,719,360 for the term of July 1, 2008 through June 30, 2010.
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BACKGROUND:
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On July 22, 2008 by Resolution 069603, your Board authorized an Agreement with California Emergency Physicians Medical Group (CEP) to provide Emergency Department (ED) services at San Mateo Medical Center (SMMC) for the term July 1, 2008 through June 30, 2010. ED services are provided on a productivity model. Staffing levels are based on treating eighty-eight patients per day. Even with the opening of an Urgent Care Center on September 1, 2009, for eight hours per day, five days per week to see non-life-threatening injuries and illnesses, there are a significant number of days per week the ED census is over 15% greater than budget (101+ patient visits per day).
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DISCUSSION:
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CEP has provided professional emergency medicine services at SMMC for several years. Due to the recent 15% increase in ED services being provided at SMMC, there is a need for additional provider staffing to treat patients. In order to provide ED services to meet this increased demand, effective January 1, 2010, staffing was increased to six nights per week for an additional six hours per night at a rate of $210 per hour. Beginning February 1, 2010, for each day patient visits reach 101 or greater, an additional six hours per night at a rate of $210 per hour will be paid.
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County Counsel has reviewed and approved the Resolution and Amendment as to form.
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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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This additional physician staffing at SMMC to meet this surge in demand is a six month program.
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Approval of this Amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by providing patients with access to emergency care. In addition, this allows the Emergency Department to treat medical emergencies and intervene in life threatening situations. It is anticipated that patient satisfaction ratings will be greater than 3.5. A patient satisfaction rating of more than 3.5 on a 4 point scale is an indicator of quality patient care and meets Joint Commission of American Hospital guidelines for accreditation.
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Performance Measures:
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Measure
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FY 2008-09
Actual
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FY 2009-10
Projected
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Patient satisfaction on the Emergency Department four point scale
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N/A
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>3.5
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FISCAL IMPACT:
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The term of the second Amendment to this Agreement is July 1, 2008 through June 30, 2010. The maximum amount of the Agreement is $7,719,360. Of the funds to pay for these services, $164,250 is included in the SMMC FY 2009-10 Adopted Budget. Expenses at SMMC are covered by fees for services or third-party payors whenever possible. The portion of expenses for services provided to the medically indigent or to those covered by programs that do not meet the full costs of care are covered by the County’s General Fund contribution to SMMC.
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