Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with Gaurav Abbi, MD, A Professional Corporation, to Provide Orthopedic Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Gaurav Abbi, MD, A Professional Corporation, to provide orthopedic services for the term of September 1, 2019 through August 31, 2020, for an amount not to exceed $300,000.
body
BACKGROUND:
Dr. Gaurav has been providing orthopedic services to patients at San Mateo Medical Center (SMMC) since September 2016 and has expressed interest in continuing to provide those services.
DISCUSSION:
As the County’s need for orthopedic services continues to increase; SMMC plans to meet this need through contracts with Dr. Abbi and other orthopedists. Dr. Abbi will continue to provide the same level of services as stated in his previous agreement with the County.
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. This agreement is coming to your Board late due to prolonged negotiations.
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 the County residents with access to orthopedic services. It is anticipated that 100% of all orthopedic services provided under this agreement 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 2018-19 Estimated |
FY 2019-20 Projected |
|
Percentage of all orthopedic services provided under this agreement that will adhere to the infection control standards as defined by the Joint Commission and Title XXII of the State of California, Code of Regulations |
100% |
100% |
FISCAL IMPACT:
The term of the agreement is September 1, 2019 through August 31, 2020. 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 2019-20 Recommended Budget. Similar arrangements will be made for future years.
The payment provisions and levels of service are 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 is covered by the County’s General Fund contribution to SMMC, and is within the existing annual appropriation.