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 Renata Jarosz, DO to Provide Physical Medicine and Rehabilitation Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Renata Jarosz, DO to provide physical medicine and rehabilitation services for the term of September 1, 2018 through August 31, 2019, in an amount not to exceed $326,000.
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BACKGROUND:
Since September 2014, Dr. Renata Jarosz has provided a musculoskeletal clinic and physical medicine (physiatry) services for San Mateo Medical Center (SMMC). The main purpose of the physiatry clinic is to diagnose and treat patients with complex musculoskeletal pain syndromes and to triage referrals to orthopedic surgery, pain management, and neurosurgery services. The screen/triage process ensures that only surgical patients are referred to orthopedics and neurosurgery, and physical medicine patients are treated non-surgically. Because patients are now appropriately sorted, patients in both the surgical and non-surgical settings are seen more quickly.
Dr. Jarosz has provided excellent coordination of physiatry, pain management, neurosurgery, orthopedic, and physical therapy services.
DISCUSSION:
Dr. Jarosz will continue to provide physiatry services five days a week to SMMC patients. In addition, Dr. Jarosz serves as Medical Director of Physiatry and Rehabilitation Medicine. Beginning with this contract, Dr. Jarosz will take on the role of Medical Director for the Physical and Occupational Therapy Departments.
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 with access to basic physiatry services. It is anticipated that the third to next available orthopedic appointment will be less than or equal to 10 days.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Actual |
FY 2018-19 Projected |
|
The availability of the third to next available orthopedic appointment |
≤ 10 days |
≤ 10 days |
FISCAL IMPACT:
The term of the agreement is September 1, 2018 through August 31, 2019. The amount of the agreement is not to exceed $326,000 for the one-year term. Funds in the amount of $272,000 are included in the SMMC FY 2018-19 Recommended Budget. Funds in the amount of $54,000 will be included in the SMMC FY 2019-20 Recommended Budget.
The payment provisions for this contract are different from the previous contract due to the rate change increase for physiatrists, as per the Medical Group Management Association (MGMA), which SMMC uses to benchmark provider rates. This contract represents a 3 percent increase over the previous contract, to reflect current MGMA rates. Also included in this contract amount is an additional $3,000 per month for Dr. Jarosz’s new Medical Director duties.
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.