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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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April 15, 2011
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BOARD MEETING DATE:
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May 10, 2011
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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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Stephen Kaplan, Interim Director, Behavioral Health & Recovery Services
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SUBJECT:
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Agreement with Rashmi Garg M.D.
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RECOMMENDATION:
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Adopt a Resolution authorizing the:
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A) President of the Board to execute an Agreement with Rashmi Garg, M.D. for the provision of psychiatry services for the period July 1, 2011 through June 30, 2013, for a maximum obligation of $300,242 and;
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B) 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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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 difficult to fill child psychiatrist positions in San Mateo County due to the high cost of living. Under the 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. Garg 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. Garg will provide child psychiatry services at Central County Mental Health, Child Welfare, Receiving Home, Therapeutic Day Schools, and Tower House. The services shall include child and youth psychiatric evaluation and treatment, psychotherapy, family therapy and consultation, case consultation to staff, and other duties as assigned.
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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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The Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing psychiatry services. BHRS provides a range of services to children and youth clients of BHRS. The provision of psychiatry services is one established level of care. The services provided through this Agreement contribute to this measure. It is anticipated that 77% of clients who receive services shall rate services as good or better.
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Performance Measure:
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Measure
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FY 2010-11
Estimate
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Percentage of clients who rate services as good or better
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77%
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FISCAL IMPACT:
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The term of this Agreement is July 1, 2011 through June 30, 2013. The Agreement maximum is $300,242 for the two-year term. For FY 2011-12 the budgeted maximum is $150,121. Of that amount, Medi-Cal will fund $36,029; State General Fund for Early Periodic Screening, Diagnosis and Treatment (EPSDT), and for AB 3632 services will fund $76,562; and sales tax through Realignment will fund $34,528. The Net County Cost is $3,002. Funds for these services will be included in the BHRS FY 2011-12 Recommended Budget. Similar arrangements will be made for FY 2012-13.
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