Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: James C. Porter, Director of Public Works
Louise F. Rodgers, Chief, San Mateo County Health
Subject: Appropriation Transfer Requests for San Mateo Medical Center Ligature Projects
RECOMMENDATION:
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Approve the following Appropriation Transfer Requests (ATRs):
A) Recognizing $750,000 in unanticipated revenue from the San Mateo Medical Center Enterprise Fund and corresponding expenditures to the Capital Projects Budget Unit (8500B) for the execution of the San Mateo Medical Center Prevention Self Harm and Ligature Project; and
B) Transferring $750,000 from the Medical Center Capital Expense - Software Budget to the Capital Expenditures - DPW to fund the above project.
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BACKGROUND:
San Mateo Medical Center (SMMC) was cited for existing ligature risks during their triannual Joint Commission accreditation survey that occurred December 19-21, 2018. A ligature risk (point) is defined as anything which could be used to attach a cord, rope, or other material for the purpose of hanging or strangulation. Some common ligature points include shower rails, ceiling fittings, and door handles and hinges. Centers for Medicare & Medicaid Services (CMS) state the presence of ligature risks in the physical environment of a psychiatric patient pose a risk to the patient's safety. This is particularly an issue for a patient with suicidal ideation. The SMMC's Patient's Rights under the Conditions of Participation (CoP) provides all patients with the right to care in a safe setting.
This is a serious finding that must be addressed immediately for safety as well as continued compliance with Joint Commission requirements. The Joint Commission will return to SMMC within 21 to 45 days of the survey date to resurvey the areas of noncompliance.
DISCUSSION:
The Department of Public Work's Capital Projects Unit is working collaboratively with SMMC to quic...
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