Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Third Amendment to Vascular Surgery Agreement with Sutter Bay Medical Foundation, a California Nonprofit Public Benefit Corporation dba Palo Alto Medical Foundation for Health Care, Research, and Education
RECOMMENDATION:
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Adopt a resolution authorizing a third amendment to the vascular surgery agreement with Sutter Bay Medical Foundation, a California nonprofit public benefit corporation dba Palo Alto Medical Foundation for Health Care, Research, and Education (PAMF) to increase the “not to exceed” amount of the agreement by $35,107 to an amount of $1,714,274.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. This care includes vascular surgery and the management and supervision of the service. PAMF has provided vascular surgery services at San Mateo Medical Center (SMMC) since 2018. The County and PAMF entered into a vascular surgery services agreement for the term of September 1, 2022, through November 30, 2025, following prior amendments in an amount “not to exceed” $1,679,167.
DISCUSSION:
The “not to exceed amount” of the agreement needs to be increased by $35,107 to an amount not to exceed $1,714,274 because of a miscalculation of the agreement’s not to exceed amount in the prior amendment. Approval is needed so that payment per contract terms to the group can occur for services through November 30, 2025.
The County Attorney has reviewed and approved the resolution and agreement 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).
It is anticipated that there will be less than 2.5% pf surgical site infection rates for vascular surgery.
PERFORMANCE MEASURE:
|
Measure |
FY 2024-25 Actual |
FY 2025-26 Estimated |
|
Percentage of surgical site infection rates for vascular surgery |
<2.5% |
<2.5% |
COMMUNITY IMPACT:
PAMF’s continued vascular surgery coverage positively impacts health outcomes for SMMC’s patients by specifically addressing the surgical needs of the County’s most medically and financially vulnerable patients. SMMC’s patients span a wide spectrum of races, ethnicities, gender, and gender-identities. Within the past 18 months, the largest cohorts of specialty care patients at SMMC were female (52%), Hispanic or Latino (63%), and primarily Spanish speaking (55%). SMMC strives to eliminate bias in the medical profession by providing culturally competent training to its physicians and by following up with patients to ensure that they continue to have access to specialized care. SMMC specifically tracks physician satisfaction survey results and requires PAMF providers to meet with SMMC and discuss patient feedback to improve patient satisfaction and remove potential barriers to care.
FISCAL IMPACT:
Funds in the amount of $35,107 exist within SMMC’s budget for FY 2025-26 to pay for vascular surgery services through the end of the contract’s prior term on November 30, 2025.
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.