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 Kenton Fong, MD for Specialty Plastic Surgery Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Kenton Fong, MD to provide specialty plastic surgery services, for the term of September 1, 2018 through August 31, 2020, in an amount not to exceed $600,000.
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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. Dr. Kenton Fong has been providing plastic surgery services at SMMC since March 2013.
DISCUSSION:
Dr. Fong has agreed to continue to provide plastic surgery clinic and operative services on an as needed basis. In addition, he will also provide Medical Director of Plastic Surgery administrative services and Emergency Department call coverage.
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 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 Estimated |
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, 2020. The amount of the agreement is not to exceed $600,000 for the two-year term. Funds in the amount of $250,000 are included in the SMMC FY 2018-19 Adopted Budget. Funds in the amount of $300,000 will be included in the SMMC FY 2019-20 Recommended Budget. Similar arrangements will be made for future years.
The payment provisions in this contract increased 11% from the previous contract due to an increase of the Medical Group Management Association rates for plastic surgeons.
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.