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 Renata Jarosz, DO to Provide Physical Medicine and Rehabilitation Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Renata Jarosz, DO to provide physical medicine and rehabilitation services for the term of November 1, 2022, through October 31, 2024, in an amount not to exceed $ 631,200.
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BACKGROUND:
Since September 2014, Dr. Renata Jarosz has provided musculoskeletal clinical and physical medicine (physiatry) services for San Mateo Medical Center (SMMC). The main purpose of these services is to diagnose and treat patients with complex musculoskeletal pain syndromes and to triage referrals to orthopedic surgery pain management and neurosurgery services. These services ensure that only surgical patients are referred to orthopedics and neurosurgery, and physiatry patients are
treated non-surgically. Because patients are now appropriately sorted, patients in both the surgical and non-surgical settings are seen more quickly.
DISCUSSION:
Under the terms of the agreement, Dr. Jarosz will continue to provide physiatry services five days each week to SMMC patients. In addition, Dr. Jarosz will also serve as the Medical Director of Physiatry and Rehabilitation Medicine.
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 the County Attorney 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).
The level of Work Relative Value Units (wRVUs) projected is based on SMMC’s estimate that Dr. Jarosz will be scheduled to provide services to an average of 16 patients per clinic and that she will be in-clinic five days per week. The projected wRVUs are also based on the 2021 MGMA median reported wRVUs for similarly situated surveyed practitioners. These estimates are based upon SMMC’s experience scheduling its patients, and do not depend or are based upon any promise, express or implied, that Dr. Jarosz will refer patients to SMMC.
It is anticipated that Dr. Jarosz will complete a projected volume of 4,050 wRVUs per annum.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Actual |
FY 2022-23 Estimated |
|
Volume of wRVUs that Dr. Jarosz completes |
4,116 wRVUs |
4,050 wRVUs |
FISCAL IMPACT:
The term of this agreement is November 1, 2022, through October 31, 2024. The amount of the agreement is not to exceed 631,200 for the two-year term. Funds in the amount of $ 210,400 are included in the SMMC FY 2022-23 Adopted Budget. Funds in the amount of $315,600 will be included in SMMC FY 2023-24. Similar arrangements will be made for future years.
The payment provisions for the current agreement do not substantially differ from those of the prior agreement. Physician productivity statistics and compensation are based on median 2022 MGMA Provider Compensation Report for the specialty of Physiatry in Federally Qualified Health Centers based on 2021 data.
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.