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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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June 8, 2010
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BOARD MEETING DATE:
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July 13, 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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Agreement with Larry K. Fan, M.D.
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RECOMMENDATION:
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Adopt a Resolution authorizing the:
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A)
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President of the Board to execute an Agreement with Larry K. Fan, M.D. to provide specialty plastic surgery services in an amount not to exceed $124,500 for the term of September 1, 2010 through August 31, 2011; and
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B)
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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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BACKGROUND:
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Plastic surgery services are provided under the general direction of the Chief of Surgery of San Mateo Medical Center (SMMC). Such care includes professional plastic surgery services, specifically in the area of non-cosmetic post-traumatic, post-cancer, and hand reconstructive care.
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DISCUSSION:
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Dr. Fan has provided professional plastic surgery services at SMMC since July 2006. He performs surgeries one full day every other week, and provides a half-day clinic every other week. In addition, Dr. Fan provides Emergency Department call coverage every other night.
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County Administrative Memorandum B-1 provides that contracts for physicians are exempt from the Request for Proposals process. The Health System Redesign Initiative Team has reviewed and approved this Agreement. The Contractor’s insurance has been approved by Risk Management. County Counsel has reviewed and approved the Agreement and Resolution 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 Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing non-cosmetic plastic surgery services for the patients at SMMC. It is anticipated that 100% of all surgery services provided will adhere to the infection control standards as defined by the Joint Commission and Title 22 of the State of California Code of Regulations, which will result in reduced risk of healthcare-associated infections.
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Performance Measure:
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Measure
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FY 2009-10
Estimate
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FY 2010-11
Projected
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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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FISCAL IMPACT:
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The term of the Agreement is September 1, 2010 through August 31, 2011. The maximum amount of the Agreement is $124,500. Funds in the amount of $93,375 to pay for these services are included in the SMMC tentatively Adopted FY 2010-11 Budget and funds will be included in future Recommended Budgets. 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 is covered by the County’s General Fund contribution to SMMC.
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