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 Melissa Selner, DPM to Provide Podiatry Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Melissa Selner, DPM to provide podiatry services for the term of November 1, 2023, through October 31, 2026, in an amount not to exceed $478,800.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. Since 2008, Dr. Selner has provided podiatry services for San Mateo Medical Center (SMMC). SMMC's patient population has a high need for podiatry services, which treats foot and lower leg injuries as well as ongoing health issues like diabetes that can affect lower extremities.
Historically, Dr. Selner's contract did not require review and approval by the Board of Supervisors in accordance with County Administrative Memorandum B-1. On May 3, 2022, the Board, for the first time, reviewed and approved an amendment to Dr. Selner's contract expanding her patient care services by approximately 400 hours annually. Specifically, SMMC increased Dr. Selner's coverage moving from 0.14 to 0.34 "full time equivalent" (FTE) coverage using 2,000 hours per year as an FTE, reflecting the increase in her clinic coverage from 72 four-hour clinics per year to 168 four-hour clinics per year. The expansion of Dr. Selner's coverage increased the "not to exceed" amount under the agreement by $125,000 to an amount not to exceed $225,000 with no change in the contract term as of May 3, 2022. The implied hourly rate for Dr. Selner's coverage under the prior contract was $164.70 per hour.
DISCUSSION:
The proposed agreement would renew Dr. Selner's contract for three years beginning November 1, 2023, through October 31, 2026, a...
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