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HomeMy WebLinkAboutMINUTES - 11271990 - 1.11 (3) 1-110 A- TO: BOARD OF SUPERVISORS AV FROM: Mark Finucane, Health Services Directortv "or' " Contra By: Elizabeth A. Spooner, Contracts AdministratorCosta DATE: November 9, 1990 10 County SUBJEC�pproval of Medical Specialist Contract #26-834-12 with Respiratory Medical Group, Inc. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Medical Specialist Contract #26-834-12 with Respiratory Medical Group, Inc. (specialty: Internal Medicine) for the period November 1, 1990 through October 31, 1991 to be paid as follows: a. For consultation and training, $42 . 80 per hour, and b. For surgery, fifty percent (500 of the fee stated in the official fee schedule approved by the Division of Industrial Accidents, State of California, in effect on the date of surgery. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-834-12, Respiratory Medical Group, Inc. will continue to provide Internal Medicine Services for Merrithew Memorial, Hospital and Clinics through October 31, 1991. This Medical Specialist Contract is prepared in the standard format approved by County Counsel 's Office. , CONTINUED ON ATTACHMENT:- YES SIGNATURE an- - RECOMMENDATION OF COUNTY ADMINISTRATOR - RECOM;F7ON OF BOARDYOMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON NO Z ISM APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS X UNANIMOUS (ABSENT I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT., - ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phil Batchelor,Mrk of the Board of Auditor-Controller Supervisors and County Admiristr?tor Contractor M382/7-63 BY DEPUTY TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts AdministratoAQ Costa DATE: November 9, 1990 County SUBJECT:Approval of Medical Specialist Contract #26-835-12 with Burton Baker, M.D. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Medical Specialist Contract #26-835-12 with Burton Baker, M.D. (specialty: Vascular and General Surgery) for the period November 1, 1990 through October 31, 1991 to be paid as follows: a. For consultation and training, $42.80 per hour, and b. For surgery, fifty Percent (50%) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents, State of California, in effect on the date of surgery. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-835-12, Burton Baker, M.D. will continue to provide Vascular and General Surgery Services for Merrithew Memorial Hospital and Clinics through October 31, 1991. This Medical Specialist Contract is prepared in the standard format approved by County Counsel 's Office. CONTINUED ON ATTACHMENT:— YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMrj< TION OF BOA COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS (ASSENT I I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phil Batchelor,Clerk of the Board of Auditor—Controller Supervisors and County Administrator Contractor M382/7-83 BY DEPUTY IJLA,® c� TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts Administrator CostaDATE. November 9, 1990 County SUBJECT:Approval of Medical Specialist Contract #26-847-11 with Michael S. Baker, M.D. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Medical Specialist Contract #26-847-11 with Michael S. Baker, M.D. (specialty: General, Vascular and Thoracic Surgery) for the period November 1, 1990 through October 31, 1991 to be paid as follows: a. For consultation and training, $42.80 per hour; b. . For surgery, fifty percent (50%) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents, State of California, in effect on the date of surgery; and c. In addition, $1, 000 per month for on-call services. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-847-11, Michael S. Baker, M.D. will continue to provide General, Vascular and Thoracic Surgery Services for Merrithew and Clinics through . Memorial Hos h October 31, 1991 Hospital g P This Medical Specialist Contract is prepared in the standard format approved by County Counsel 's Office. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM DA ION OF BOARD 60MMITTEE APPROVE OTHER SIGNATURE(S) y ACTION OF BOARD ON NOV 27 1990 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS XUNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phi)Batchehn,Geri(of the Board of Auditor-Controller Supervisors and County Administrator Contractor M382/7-83 BY ' DEPUTY 1-110 D TO: BOARD OF SUPERVISORS i FROM. Mark Finucane, Health Services Director W Contra By: Elizabeth A. Spooner, Contracts AdministratoCosta DATE: november 9, 1990 9COUrlly SUBJECT: Approval of Medical Specialist Contract #26-808-13 with William H. Jervis, M.D. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Medical Specialist Contract #26-808-13 with William H. Jervis, M.D. (specialty: Plastic Surgery) for the period November 1, 1990 through October 31, 1991 to be paid as follows: a. For consultation and training, $42 .80 per hour, and b. For surgery, sixty-seven percent (67%) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents, State of California, in effect on the date of surgery. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-808-13 , William H. Jervis, M.D. will continue to provide Plastic Surgery Services for Merrithew Memorial Hospital and Clinics through October 31, 1991. This Medical Specialist Contract is prepared in the standard format approved by County Counsel 's Office. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM ND TION OF BOARt COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS X UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phil eatchetor,Cert of the Board of Auditor-Controller Suvervisprs and County Administrator Contractor M382/7-83 BY / DEPUTY 1-110 TO: BOARD OF SUPERVISORS � FROM: Mark Finucane, Health Services Director l/�v / Contra(-`By: Elizabeth A. Spooner, Contracts Administrato ossa} DATE. November 9, 1990 . County SUBJECT: Approval of Medical Specialist Contract #26-811-16 with Stephen M. Murphy, M.D. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Medical Specialist Contract #26-811-16 with Stephen M. Murphy, M.D. (specialty: Plastic Surgery) for the period November 1, 1990 through October 31, 1991 to be paid as follows: a. For consultation and training, $42 ., 80 per hour, and b. For surgery, sixty-seven percent (67%) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents, State of California, in effect on the date of surgery. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-811-16, Stephen M. Murphy, M.D. will continue to provide Plastic Surgery Services for Merrithew Memorial Hospital and Clinics through October 31, 1991. This Medical Specialist Contract is prepared in the standard format approved by County Counsel ' s Office. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME DA ION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ONjqqn Nnv 9. 7 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS —L> UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phil Batchelor,Clerk of the Board of Auditor-Controller SuYervisors and County Administrator Contractor _ M382/7-83 BY DEPUTY -,-11O TO: BOARD OF SUPERVISORSl FROM: Mark Finucane, Health Services Director U "` //'/ CContra+ ra By: Elizabeth A. Spooner, Contracts Administrato COSta DATE: November 9, 1990 County SUBJECT: Approval of Medical Specialist Contract #26-817-16 with .James M. Rosin, M.D. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee, to execute on behalf of the County, Medical Specialist Contract #26- 817-16 with James M. Rosin, M.D. (specialty: Nephrology) for the period November 1, 1990 through October 31, 1991 to be paid as follows: $42 .80 per hour for the provision of consultation, training services and/or medical procedures. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-817-16, James M. Rosin, M.D. will continue to provide Nephrology services for Merrithew Memorial Hospital and Clinics through October 31, 1991. This Medical Specialist Contract is prepared in the standard format approved by County Counsel 's Office. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM D ION OF BIOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS L'-r— ,,LS_ UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phil Batchelor,Clerk of the Board of Auditor-Controller SuYervisors and County Administrator Contractor M382/7-83 BY L �� �� DEPUTY 1. -110 � TO: BOARD OF SUPERVISORS FROM: Mark Flnucane, Health Services Director r Contra By: Elizabeth A. Spooner, Contracts AdministratorCosta DATE: November 9, 1990 10 County SUBJEC74pproval of Medical Specialist Contract #26-824-16 with Hunter O. Cutting, M.D. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee, to execute on behalf of .the County, Medical Specialist Contract #26- 824-16 with Hunter O. Cutting, M.D. (specialty: Hematology) for the period November 1, 1990 through October 31, 1991 to be paid as follows: $225. 00 per session, defined as the provision of consul- tation and/or training services and/or the performance of medical procedures during any single continuous appearance at County Hospital (ranging from at least one full hour up to five hours) during one calendar day. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-824-16, Hunter O. Cutting, M.D. will continue to provide Hematology services for Merrithew Memorial Hospital and Clinics through October 31, 1991. This Medical Specialist Contract is prepared in the standard format approved by County Counsel 's Office. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME D ION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON NOV 2 7 199a APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS Lz UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phil Batchelor,Clerk of the Board of Auditor-Controller SuYervisors and County Administrator Contractor /g M382/7-83 BY l //G'/ DEPUTY TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director(/ Contra By: Elizabeth A. Spooner, Contracts AdministratorCosta DATE: November 9, 1990I @ wCol 11'x}\/ SUBJECT;ppproval of Medical Specialist Contract #26-856-11 with Diablo Pulmonary Medical Group SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Medical Specialist Contract #26-856-11 with Diablo Pulmonary Medical Group (specialty: Internal Medicine) for the period November 1, 1990 through October 31, 1991 to be paid as follows: a. For consultation and training, $42 .80 per hour, and b. . For surgery, fifty percent (50%) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents, State of California, in effect on the date of surgery. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed .for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-856-11, Diablo Pulmonary Medical Group will continue to provide Internal Medicine Services for Merrithew .Memorial Hospital and Clinics through October 31, 1991. This Medical Specialist Contract is prepared in the standard format approved by County Counsel 's Office. CONTINUED ON ATTACHMENT: YES SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM ND ION OF BOARIf COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED 2< OTHER VOTE OF SUPERVISORS _ X UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phil Batchelor,Clerk 61 the Board of Auditor-Controller Supervisors and County Administrator ,_Contractor. M382/7-83 BY DEPUTY TO: BOARD OF SUPERVISORS 1-110 7" FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts Administrator Costa DATE: November 9, 1990 County SUBJECT:Approval of Medical Specialist Contract #26-883-2 with Rodney J. Chan, DPM SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Medical Specialist Contract #26-883-2 with Rodney J. Chan, DPM, (specialty: Podiatry) for the period November 1, 1990 through October 31, 1991 to be paid as follows: a. For consultation and training, $42 . 80 per hour, and b. For surgery, fifty percent (50%) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents, State of California, in effect on the date of surgery. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-883-2, Rodney J. Chan, DPM, will continue to provide podiatry services for Merrithew Memorial Hospital and Clinics through October 31, 1991. This Medical Specialist Contract is prepared in the standard format approved by County Counsel 's Office. CONTINUED ON ATTACHMENT: YES SIGNATURE: _J�j a)z�� RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM D ION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON NUV 7, APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phil Batchelor,Clerk of the Board of Auditor-Controller Suvervisors and County Administrator Contractor M382/7-83 BY DEPUTY 1--x.10 � TO: BOARD OF SUPERVISORS r(,r FROM: Mark Finucane, Health Services Director � Contra By: Elizabeth A. Spooner, Contracts Administrator COS♦a DATE: November 9, 1990 ii) County SUBJECT:Approval of Medical Specialist Contract #26-887-2 with Colleen M. Kenney, DPM SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Medical Specialist Contract #26-887-2 with Colleen M. Kenney, DPM (specialty: Podiatry) for the period November 1, 1990 through October 31, 1991 to be paid as follows: a. For consultation and training, $42 .80 per hour, and b. For surgery, fifty percent (50%) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents, State of California, in effect on the date of surgery. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the ' County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-887-2, Colleen M. Kenney, DPM, will continue to provide podiatry services for Merrithew Memorial Hospital and Clinics through October 31, 1991. This Medical Specialist Contract is prepared in the standard format approved by County Counsel 's Office. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM D ION OF BOARD 60MMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phil Batchelor,Clerk of the Board of Auditor-Controller Suvervisors and County Administrator Contractor /J M382/7-e8 BY (/�" DEPUTY 1-1.1.® h TO: BOARD OF SUPERVISORS C FROM: Mark Finucane, Health Services Director �( Contra By: Elizabeth A. Spooner, Contracts Administrator C0S♦a DATE: November 9, 1990 4i) County SUBJECT•'Approval of Medical Specialist Contract #26-866-8 with Mark A. Silvert, M.D. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Medical Specialist Contract #26-866-8 with Mark A. Silvert, M.D. (specialty: Urology) for the period November 1, 1990 through October 31, 1991 to be paid as follows: a. For consultation and training, $42 .80 per hour, and b. For surgery, fifty percent (50%) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents, State of California, in effect on the date of surgery. II. FINANCIAL IMPACT: Cost to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics. Under Contract #26-866-8, Mark A. Silvert, M.D. , will continue to provide urology services for Merrithew Memorial Hospital and Clinics through October 31, 1991. This Medical Specialist Contract is prepared in the standard format approved by County Counsel 's Office. CONTINUED ON ATTACHMENT: YES SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM DA ION OF BOARD tOMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON NOV 2 7 1990 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED NOV 2 7 1990 Risk Management Phil Batchelor,Clerk of the Board of Auditor-Controller Suvervisors and County AdministrAor Contractor M8e2/7-68 BY DEPUTY