Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with Gaurav Abbi, MD for Specialty Orthopedic Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Gaurav Abbi, MD to provide specialty orthopedic services for the term of September 1, 2017 through August 31, 2018, to an amount not to exceed $300,000.
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BACKGROUND:
Dr. Gaurav Abbi has been providing orthopedic services to patients at San Mateo Medical Center (SMMC) since September 2016. He has expressed interest in continuing to provide orthopedic services at SMMC.
DISCUSSION:
Dr. Abbi has agreed to continue to provide orthopedic services at SMMC, and he is familiar with SMMC’s patient population, policies, and procedures.
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).
The agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing San Mateo County residents access to orthopedic services. It is anticipated that 100% of all orthopedic 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 the reduced risk of healthcare-associated infections.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Estimated |
FY 2017-18 Projected |
|
Percent of all orthopedic 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 the reduced risk of healthcare-associated infections |
100% |
100% |
FISCAL IMPACT:
The term of the agreement is September 1, 2017 through August 31, 2018. The amount of the agreement is not to exceed $300,000 for the one year term. Funds in the amount of $250,000 are included in the SMMC FY 2017-18 Approved Recommended Budget. Funds in the amount of $50,000 will be included in the SMMC FY 2018-19 Recommended Budget.
The payment provisions and levels of service in this agreement are essentially the same as 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 are covered by the County’s General Fund contribution to SMMC, and are within the existing annual appropriation.