Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with John McNamara, DO to Provide Ophthalmology Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with John McNamara, DO to provide ophthalmology services for the term of July 1, 2020 through June 30, 2021, in an amount not to exceed $300,000.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population, as well as access to services to its general population. Dr. John McNamara has been providing ophthalmology services at San Mateo Medical Center (SMMC) for more than twenty years.
DISCUSSION:
The County’s need for ophthalmology services is increasing due to the aging of its patient population. Dr. McNamara has agreed to provide additional ophthalmology services and call coverage in light of another ophthalmologist leaving SMMC. Dr. McNamara will be responsible for six clinic blocks and one surgery block, as well as equally splitting on-call responsibilities with the other two ophthalmologists on contract with SMMC.
County Administrative Memorandum B-1 provides that contracts for physicians are exempt from the Request for Proposals process.
The agreement and resolution have been reviewed and approved by County Counsel as to form.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
It is anticipated that 100% of all cataract surgery services provided will adhere to the infection control standards as defined by the Joint Commission and Title XXII of the State of California, Code of Regulations, which will result in reduced risk of healthcare-associated infections.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2020-21 Projected |
|
Percentage of all cataract surgery services provided that will adhere to the infection control standards as defined by the Joint Commission and Title XXII of the State of California, Code of Regulations, which will result in reduced risk of healthcare-associated infections |
100% |
100% |
FISCAL IMPACT:
The term of the agreement is July 1, 2020 through June 30, 2021. The amount of the agreement is not to exceed $300,000 for the one-year term. Funds in the amount of $300,000 are included in the SMMC FY 2020-21 Recommended Budget.
The payment provisions in this contract are essentially the same as those of the previous agreement.
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 and is within the existing annual appropriation.