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 Maurer Dermatology Associates to Provide Dermatology Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Maurer Dermatology Associates to provide dermatology services for the term of December 1, 2019, through November 30, 2022, in an amount not to exceed $1,550,000.
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BACKGROUND:
In January 2011, San Mateo Medical Center (SMMC) entered into an agreement with University of California at San Francisco Medical Center (UCSF), under which Dr. Toby Maurer, who was at that time affiliated with UCSF, provided teledermatology screening and dermatology clinic services at SMMC.
In October 2017, Mauer Dermatology Associates and the County entered into an agreement under which Dr. Maurer and her associates provided a range of professional medical dermatology services to the County’s patients, including teledermatology screenings, dermatology clinics and call coverage, and the performance of dermpath biopsies.
DISCUSSION:
Under the terms of this new agreement, Maurer Dermatology Associates will continue to provide range of in-person and teledermatology services to 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 protracted negotiations.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2020-21 Projected |
|
Percent of all dermatology services that will adhere to the infection control standards as defined by Joint Commission and Title XXII of the State of California, Code Regulations, which will result in the reduced risk of healthcare-associated infections |
100% |
100% |
It is anticipated that 100% of all dermatology services provided will adhere to the infection control standards as defined by the Joint Commission and Title XXII of the State of California, Code Regulations, which will result in the reduced risk of healthcare-associated infections.
FISCAL IMPACT:
The term of the agreement is December 1, 2019 through November 30, 2022. The amount to be paid under the agreement will not exceed $1,550,000 for the three-year term. Funds in the amount of $302,000 are included in the SMMC FY 2019-20 Approved Budget. Funds in the amount of $517,000 are included in the SMMC FY 2020-21 Recommended Budget. Similar arrangements will be made for future years.
The payment provisions of this agreement are essentially the same as the prior 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.