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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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May 26, 2010
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BOARD MEETING DATE:
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July 27, 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 Synthes
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RECOMMENDATION:
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Adopt a Resolution:
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A)
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Waiving the Request for Proposals process and authorizing the President of the Board to execute an Agreement with Synthes for trauma implants, including osteobiologics and instruments, for the term of July 1, 2010 through June 30, 2013, for a maximum obligation of $1,200,000; and
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B)
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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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BACKGROUND:
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Synthes is a major provider for trauma fixation equipment. San Mateo Medical Center (SMMC) has standardized its practice with the use of its products. Prior SMMC contracts with Synthes were vendor agreements through Amerinet, the County-contracted group purchasing organization.
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DISCUSSION:
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Synthes provides instruments, implants and bio-materials for the surgical fixation, correction and regeneration of the skeleton and its soft tissues. Implants include screws, plates, rodding, and nails to fixate bone fractures. Bio-materials are used in aiding bone regeneration, in healing fractures and fusing bone.
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Synthes is no longer covered by the Amerinet contract. However, it is a major provider for trauma fixation and SMMC has standardized its practice with the use of Synthes products.
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A waiver of the Request for Proposals (RFP) process is requested due to SMMC standardization with Synthes products. The replacement of all instrumentation sets, plates and screws with those of another vendor would be an extremely expensive and time consuming process.
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The Agreement and Resolution have been reviewed and approved by County Counsel. The Contractor’s insurance has been reviewed and approved by Risk Management.
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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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Approval of this Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing patients with access to corrective procedures for skeletal trauma. The services and instruments are essential to the maintenance of the highest standards of quality patient care. It is anticipated that 100% of all deliveries of service and/or instrumentation and implants will be accomplished.
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Performance Measure:
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Measure
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FY 2009-10
Actual
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FY 2010-11
Projected
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Percentage of delivery of services and/or instrumentation and implants for traumatic bone surgeries
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100%
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100%
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FISCAL IMPACT:
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The term of this Agreement is July 1, 2010 through June 30, 2013. Funds in the amount of $400,000 are included in the SMMC tentatively Adopted FY 2010-11 Budget. Funds in the amount of $400,000 will be included in the SMMC FY 2011-12 Recommended Budget, and similar arrangements will be made in future budget years.
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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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