Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with Hubert B. Shih, MD for Specialty Plastic Surgery Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Hubert B. Shih, MD to provide specialty plastic surgery services, for the term of September 1, 2018 through August 31, 2019, in an amount not to exceed $260,000.
body
BACKGROUND:
Specialty plastic surgery services are provided under the general direction of the Chief of Surgery at San Mateo Medical Center (SMMC). Such care includes professional plastic surgery services, specifically in the area of non-cosmetic post traumatic, post-cancer, and hand reconstructive care.
DISCUSSION:
In anticipation of a pending retirement, SMMC needs to contract with another plastic surgeon. Dr. Shih has agreed to contract with the County to provide plastic surgery clinic and operative services, on an as needed basis, scheduled in advance and in writing, in consultation with the SMMC Chief of Surgery. The staffing transition within the SMMC Plastic Surgery Department is expected to occur without incurring additional expense (e.g. staffing hours).
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 access to non-cosmetic plastic surgery services to County residents. It is anticipated that all plastic 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 to reduce the risk of infections 100% of the time.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Percentage of plastic 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 to reduce the risk of infections |
100% |
100% |
FISCAL IMPACT:
The term of the agreement is September 1, 2018 through August 31, 2019. The amount of the agreement is not to exceed $260,000 for the one year term. Funds in the amount of $216,666 are included in the SMMC FY 2018-19 Recommended Budget. Funds in the amount of $43,334 will be included in the SMMC FY 2019-20 Recommended Budget.
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.