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File #: 24-544    Version: 1 Name:
Type: Resolution Status: Agenda Ready
File created: 5/24/2024 Departments: HEALTH
On agenda: 6/25/2024 Final action:
Title: Adopt a resolution authorizing a second amendment to the agreement with Hubert B. Shih, MD, increasing the amount of clinical coverage, authorizing the assumption of Medical Director services, and increasing the not to exceed amount from $1,184,040 to an amount not to exceed $1,826,590.
Attachments: 1. 20240625_r_Hubert B. Shih, MD, 2. 20240625_a_Hubert B. Shih, MD
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: Second Amendment To Agreement with Hubert B. Shih, MD to Provide Plastic Surgery Services
RECOMMENDATION:
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Adopt a resolution authorizing a second amendment to the agreement with Hubert B. Shih, MD, increasing the amount of clinical coverage, authorizing the assumption of Medical Director services, and increasing the not to exceed amount from $1,184,040 to an amount not to exceed $1,826,590.

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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population as well as access to services to its general population. Dr. Shih has been providing plastic surgery services at San Mateo Medical Center (SMMC) since 2018. San Mateo County is responsible for providing necessary medical care to its medically indigent population, which includes plastic surgery in cases of trauma. On November 15, 2022, this Board approved an agreement with Hubert B. Shih, MD to provide plastic surgery services for the term of December 1, 2022, through November 30, 2025, in an amount not to exceed $1,184,040. In the original agreement, Dr. Shih agreed to provide a minimum of 144 4-hour outpatient and surgery clinics per year and provide on call coverage 183 days per year. On December 20, 2023, San Mateo Medical Center and Dr. Shih entered into a first amendment to the agreement adding clarifying language regarding Dr. Shih's coverage expectations with no fiscal impact.

DISCUSSION:
The second amendment is now needed for Dr. Shih's current agreement because Dr. Shih's colleague, Dr. Fong, is scaling back hours of his practice at SMMC and Dr. Shih is picking up all of Dr. Fong's reduced hours, in addition to assuming Dr. Fong's duties as a Medical Director. Dr. Shih has agreed to expand h...

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