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 Jessie Hwang, OD to Provide Optometry Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Jessie Hwang, OD to provide optometry services for the term of September 1, 2018 through August 31, 2020, in an amount not to exceed $270,000.
body
BACKGROUND:
San Mateo County provided necessary optical care to its medically indigent population, and access to services to its general population. Dr. Hwang has been providing optometry services at San Mateo Medical Center (SMMC) for the past eleven years and will continue to provide, at a minimum, the same level of service as she has under previous contracts with the County.
DISCUSSION:
The County’s need for optometry services is increasing due to the aging of its patient population. SMMC will continue to meet this growing need through contracts with Dr. Hwang and other optometrists. Dr. Hwang has agreed to provide necessary diabetic retinopathy screening and optometry examination coverage for County patients at SMMC and Correctional Health Services (CHS).
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 access to optometry services to County residents. It is anticipated that 100% of all eye examinations 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 Actual |
FY 2017-18 Projected |
|
Percent of eye examinations that adhere to infection control standards as defined by Joint Commission, Title XXII, and other applicable standards |
100% |
100% |
FISCAL IMPACT:
The term of the agreement is September 1, 2018 through August 31, 2020. The amount of the agreement is not to exceed $270,000 for the two year term. Funds in the amount of $102,000 are included in the SMMC FY 2018-19 Recommended Budget. Funds in the amount of $10,000 are included in the CHS FY 2018-19 Recommended Budget. Funds in the amount of $122,500 will be included in the SMMC FY 2019-20 Recommended Budget. Funds in the amount of $12,500 will be included in the CHS FY 2019-20 Recommended Budget. Similar arrangements will be made for future years.
The payment provisions of this contract have increased by 5% over the prior contract due to a similar rate increase noted in the 2017 Medical Group Management Association Provider Compensation and Production Report, which SMMC uses to benchmark its contracted provider rates.
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.