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: Amendment to the Agreement with David Jegge, MD for General Surgery Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with David Jegge, MD, extending the term by three months from August 1, 2022 through July 31, 2025 to a term of August 1, 2022 through October 31, 2025 and increasing the not-to-exceed amount by $97,830 to an amount not to exceed $1,337,010.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. Since 2005, Dr. Jegge has provided general surgery services at San Mateo Medical Center ("SMMC"). On June 26, 2022, the County entered into its most recent contract with Dr. Jegge to provide those services in an amount not to exceed $1,239,180.
DISCUSSION:
Under this amendment, Dr. Jegge has agreed to continue to provide general surgery services for an additional three months to allow for additional time to negotiate a new agreement.
County Administrative Memorandum B-1 provides that contracts for physicians are exempt from the Request for Proposals process.
The rates in Dr. Jegge's agreement are within fair market value, according to VMG Health, a nationally recognized medical services valuation firm that relies upon multiple industry-standard provider compensation surveys and aggregates that data.
County Attorney has reviewed and approved the resolution and amendment to the 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 100% of general surgery services provided by Dr. Jegge will adhere to the infection control standards as defined by the J...
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